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Personal Information

Will this property be deeded to a business/trust/estate etc.?

Name of Entity(Required)

Your Name(Required)

First Last

Date of Birth(Required)

Additional Owner Name

First Last

Date of Birth

Email(Required)

Phone(Required)

Would you like Ownby Insurance to send you texts regarding this quote?(Required)

Yes

No

Mailing Address:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Address of Property to be insured:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Construction Type(Required)

Type of Property(Required)

Coverage Effective Date:(Required)

Is this a new purchase?(Required)

Any Losses in last 5 years?(Required)

Yes

No

Dwelling Coverage $:(Required)

Gross Annual Rental Income $:(Required)

Personal Property/Contents Coverage $:(Required)

Liability Coverage:(Required)

Are there any other structures such as out buildings and fences?(Required)

Please specify other structure:

Property Deductible:(Required)

Year Home Was Built:(Required)

# of Bedrooms:(Required)

# of Bathrooms:(Required)

Square Footage of Home:(Required)

Number of stories (not including basement)(Required)

Type of Roof(Required)

Age of Roof:(Required)

Type of Foundation:(Required)

Will there be a mortgage on the property?(Required)

Name of Mortgage Company, Address, Loan #:

Will this property be used as a secondary home at least 6 months out of the year?(Required)

Recreational Equipment:

Hot Tub

Outdoor Pool

Indoor Pool

Trampoline

Boat Dock

Recreational Vehicle

Exercise Equipment

Boats

Bicycles

Playground

Protective Devices:

Smoke Detector

Carbon Monoxide Detector

Local Burglar Alarm

Central Burglar Alarm

Central Fire Alarm

Fire Extinguisher

Sprinklers

Type of fireplace:(Required)

Is there a wood-burning stove?(Required)

Yes

No

Website for online rental listing?

Name of Rental Company (Enter TBD if unknown):

Comments

Please add additional comments here about the home:

How Did You Find Us?

Insurance Score Agreement

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About

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400 Court Avenue PO Box 4400
Sevierville, Tennessee 37864