Landlord Dwelling

Owning a rental property offers many rewards and at the same time many challenges. One of those is finding the right coverage for your particular property. The Perimeter Group works with multiple carriers to build the right policy for you. We make sure your property has the right dwelling and personal property coverage as well as liability and loss of rental income protection.

The Perimeter Group…we build insurance coverage that protects you.

Personal Information

Name:
Home Phone:
Work Phone:
Cell Phone:
Fax Number:
E-mail:
Best time to contact:

Property Information

Property Address:
Dwelling Type:
Occupency Type:
Roof Type:
Foundation Type:
# of Units
Number of Bedrooms:
Dog on Premises:
Type of Plumbing:
Primary Heat:
Garage Type:
Ownership Status:
Year Built:
Construction Type:
Age of Roof:
Square Feet
# of Stories:
# of Baths:
Bite History:
Electrical:
Fuel Source:
Garage Size:

Current Insurance Information

Company Name:
Policy Expiration:
Current Premium:

Coverage Information

Dwelling:
Other Structures:
Personal Property:
Loss of Use:
Liability:
Med. Payments:
Deductible:
Do you want a quote for earthquake?

Additional Information

Select All That Apply:
Please describe any claims in the past 5 years:
Questions or Comments:
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