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Landlords Property Insurance - Quote Form
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| Your Name |
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| Company Name ( If Applicable ) |
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| Telephone or/ Mobile Number |
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| Email Address (Optional) |
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Address of Property to be Insured
Number, Name of Street |
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| Postcode of Property |
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| Landlords Address ( correspondence address )
Number, Name of Street |
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| Your Postcode |
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| Buildings Sum Insured? |
£
( if Zero - please state 'nil' )
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| Contents Sum Insured? |
£
( if Zero - please state 'nil' )
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| Date Insurance required from ? |
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| Year the property built? - ( approx.) |
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| How Long Have You owned it |
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| Is the property in a good state of repair? |
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| Is the WHOLE property to be insured.? |
( properties are normally insured complete ) |
| Is the Property a Listed Building ? |
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| Is the Property in an area where flooding has occurred.?
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| Is the property in an area where subsidence has occurred? |
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| Is the property built of ( Brick, Stone, Concrete )? |
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| Roof made of ( Slate, Tiles, Other )? |
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| What Percentage of the roof is "Flat"? |
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| Please Describe the Property : |
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| Who currently resides in the property? |
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| If unoccupied, How long & Why? |
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| Has insurance cover ever been refused or special terms imposed? |
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| Has the Insured ever been convicted of any criminal offence, Other than driving
offences? |
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| History Have you made any Insurance Claims in the last 5 years?
If Yes provide full details |
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| Do you require Landlords Legal Expenses Insurance Cover? ( At an additional cost of £55.00 ) |
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