Tennessee Landlord Insurance

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1. Ownership Type Personally Owned LLC Owned Trust Corporation Partnership Estate Other
2. If owned in Entity name, Please define
3. First and Last Name(required)
4. Birth Date
5. Email(valid email required)
6. Phone Number(required)
7. 2nd Owner
8. Birth Date
9. Applicant's Relationship Please Choose Individual Married Relative Business Partner Corporate Officer Member/Managing Member Beneficiary Other (define in comments)
10. How Many Rental Homes do you Own?

Mailing Address

1. Applicant's Street Address
2. City
3. State
4. Zip

Address to be Insured

1. Purchase Date of Home
2. Property Street Address
3. City
4. State
5. Zip
6. Type of Home Single Family Townhome-End Unit Townhome-Interior Unit Condo Cluster Home Manufactured Home Mobile Home Modular Home Dome Home Underground Home
7. Occupancy Tenant Occupied Owner Occupied Vacant Under Renovation Secondary Home
8. Is there a Mortgage or Additional Insured needed? 0 1 2 3 4 5
9. Please list Motgage company or additional insured Name:

Coverage and Preferences

1. Do you have a preferred Dwelling coverage amount? When comparing prices, the coverage amount is a number that adds consistency between prices. Or, consider using the amount of coverage on your current policy. No other quotes or prior coverage. No problem.
2. Dwelling Coverage
3. Deductible desired
4. $500.00 $1,000.00
   $2,000.00 $3,000.00
   $5,000.00
5. Liability amount (we encourage $500,000)
6. $100,000 $200,000
   $300,000 $500,000

Current Insurance

1. Is the Home Currently Insured?
2. Yes
   No
   New Purchase
3. What insurance company currently insures the home?
4. Any losses at this home under the current ownership?
5. Yes
   No
6. If Losses please describe

Details of Home to be Insured

1. Year Built
2. Square Footage
3. Number of Levels? Please Choose Ranch-1 main level Two Story Split Foyer Split Level 1.5 levels Tri-Level Other (define in comments)
4. Number Full Bathrooms Please Choose 1 2 3 4 5 6 7 8 9 10
5. Number Half Bathrooms 0 1 2 3 4
6. Fireplaces None 1 2 3 4
7. Heating and A/C
8. Central A/C Central Heat
   Window A/C No A/C
   Other? Pls Comment
9. Type of Foundation? Please Choose Slab Crawl Space Partial Basement Full Basement Stilts - Pole Open Foundation with Blocks
10. % of Basement Completion Please Choose if Applicable 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
11. Garage Please Choose None 1 car garage 2 car garage 3 car garage 4 car garage 1 car carport 2 car carport
12. Garage Location Please Choose Attached-Living Space Above Attached-No Living Space Above In Basement Detached-No Living Space above Detached- Living Space Above Detached Carport Attached Carport
13. Is there a Mandatory Homeowner Association?
14. Yes No
15. Exterior Construction Please Choose Wood Vinyl/Aluminum Hardi-Plank Brick Veneer Stucco Solid Masonry Log Other (pls comment below)
16. Roof Construction Please Choose Asphalt Shingles Metal Tile Rubber (flat roofs) Other (comment below)
17. Additional Comments

Validation

1. Ten minus five equals
2. As part of the application process, we may collect personal information from persons other than you or other individuals proposed for coverage, including credit reports and loss information reports. This information, as well as other personal or privileged information subsequently collected by us, may in certain circumstances be disclosed to third parties without your authorization. You have a right of access and correction with respect to all personal information we collect. If you would like more detailed information in writing about our information collection practices, please let us know. NOTE: In regard to the statement above, we are required to post this as a process of obtaining Loss Information History and final quoting criteria. Submitting this form approves the collection of data. We have not asked for and do not require a social security number in this process.
3. Agree

 

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