Quote Request - Landlord Coverage - Rosenthal Insurance Services

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Thank you for your interest in receiving a homeowners quote. This form should only take about 7-10 minutes to complete. Don't worry if you don't have everything. You can always click the "Save and continue later" button below. We'll email you a private link to pick up where you left off.
Primary Person's Name*
Insured First Name Insured Last Name
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Mobile Phone*
Work Phone
Primary Email Address*
Date of Birth*
MM slash DD slash YYYY
Occupation*
Please specify other occupation

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Property Information
Year Home Built
Construction Type*
Exterior Walls*
Number of Stories*
Roofing Material*
Roof Design*
Does the roof have any solar panels?*
- Yes
- No
How many solar panels*
Current value of solar panels*
Do you know when the roof, plumbing, electrical, or exterior paint was updated?*
- No
- Yes
- I don't know
Year Roof Updated*
Year Plumbing Updated*
Year Electrical Updated*
Year Heat Updated*
Purchase Date*
Purchase Price*

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Mailing Address
Is your mailing address the same as the property address?*
- Yes
- No
Mailing Address*
Same as previous

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Number of years at this address
Previous Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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Replacement Cost

We need this information to determine how much it would cost to rebuild this property in the event of a loss.
Has the electrical or plumbing on your condo been updated? If so what year(s)?*
Foundation Type*
Square Feet*
Basement?*
- Yes
- No
Sq Ft of Basement
% Basement Finished
Garage*
What type of other garage does the property have?*
Full Baths*
Half Baths*
Bathroom Grade*
Kitchen Grade*
Cooling / Air*
Primary Heat Source*
Fireplace Types*
- None
- Wood burning fireplace
- Gas fireplace
- Wood stove
How many of each type of fireplace?
Deck / Lanai*
Deck / Lanai Sq Ft*

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Upload Current Policy

To better assist us in comparing your current coverage to our proposal, please upload a copy of your current homeowners policy.
Would you like to upload a copy of your current homeowners policy?*
- Yes
- No
Name of current insurance carrier*

Why we need this: We represent many different carriers and we don't want to quote your insurance with the same carrier.
When does your current policy expire?
Current Policy Upload*
You may upload up to 10 policy documents. Only .pdf file types accepted.
Drop files here or

Accepted file types: pdf, Max. file size: 50 MB, Max. files: 10.

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Claims and Rating Information
Liability Limit
Dwelling / Improvements Coverage*
Contents Coverage Amount*
Loss of Use Amount*
Reported Claims (last 3 years)*
Have you had any insurance lapse (30 days or more), cancel, or non-renew in the last 3 years?*
- No
- Yes
- No prior insurance

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Optional Discounts
The following discounts are available. Please check all that apply.
- Select All
- Central Station Fire Alarm
- Central Station Burglar Alarm
- Water Leak Sensors
- Home Security System (Cameras, RING, etc.)
- Smart Home
- Multi-Policy Discount (Auto + Home)
- Paperless Billing
- My property is unique
Please let us know what unique features this property has (ie. elevator, backup generator, server room, etc.)

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Scheduled Items

Most homeowners policies have limitations on the following types of personal property. You have the option to schedule (or add) these special items to your policy for higher coverage.

Examples of these types of items include: jewelry, furs, art, collectibles, cameras, computers, golfing equipment, guns, antiques, silverware, bicycles, coins, musical instruments.
Do you have any items you would like to schedule?*
- No
- Yes
Please describe your items

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Last Step

You're almost done!
Would you like to receive an auto quote as well to maximize your savings?*
- Yes
- No
- Let's discuss
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Would you like a quote from a specific agent?
How were you referred to us?
Is there anything you want us to know?
Consent*
Like most insurance agencies, Rosenthal Insurance Services, Inc. uses information from you and other sources, such as your driving and claims histories, insurance score, and other factors to calculate an accurate rate for your insurance. New or updated information may be used to calculate your renewal premium.
I Agree
All the above information is accurate and true to the best of my knowledge.*
- Yes
Would you like to create a user account to manage your submissions?*
- Yes, create my account
- Not at this time
Username*
Create a Password*
Enter Password Confirm Password
Name
This field is for validation purposes and should be left unchanged.

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Personal Information