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HomeOwners Questionnaire
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Fields marked (
*
) are mandatory.
General Property Information
Property Address
Year Built
Total Living Area
(Excluding all porch, deck, & garage areas )
Square Feet
# of Stories
(Includion 1\2 stories)
Type of Residence
House
Rental
Condo/Co-op
Occupancy
Principal/Primary
Seasonal/Vacation
Secondary
# of Families
Single
Double
Triplex
Gradation
Built on Hill
Built in/on Canion
Built on Flat Ground
if on hill or canyaon, please list the approximate degree of slope
Fire Protection
Distance of Fire Hydrant
Distance of Fire Station
Please explain any additional descriptive information in the space below
Property Construction
Foundation
Closed
Open
(Built on a Slab, Crawlspace, or Basement )
(Built on Piers, Posts, Pillings )
Type of Roof
Asphalt or Composition Shingle
Wood Shake
Tar/Gravel
Slate of Clay
Concrete Title
if other type of roof type it here
Age of Roof
years
Garage
1-car
2-car
3-car
4-car
Garage type
Attached
Carport
Detached
Basement
Other Detached Structures(guest home, cabana, barn, etc)
Basement
Completely Finished
Partially Finished
Unfinished
Updates(Year)
Heating
Electrical
Plumbing
Roof
Earthquake
Earthquake coverage requested?
Yes
No
Complete Earthquake Retrofit?
Yes
No
Bolted Only
Date
01
02
03
04
05
06
07
08
09
10
11
12
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Documentation Available
Yes
No
Property Rooms/Features
Rooms
Bathrooms #
Bedrooms
Other
Features
Pool Fenced
Yes
No
Hot Tub/Sauna Fenced
Yes
No
Hot Tub/Sauna
Inside
Outside
Custom Design
Please describe any custom installations listed below
Marble, Granite, Slate, Etc
Built ins/Cabinetry
Walls / Trim/ Molding
Floors
Mantels
Countertops
Appliances
Windows
Other
Please explain any additional descriptive informatio in the space below
Property Credits
Property Plans
Alarm details