Renewal Questionnaire

Homeowners Customers

Describe any business activities at your home premises

Is any business property stored anywhere on the premises?

Describe any new additions or renovations to the home

If applicable, give the year of the last update/repair to the wiring/plumbing/heating&AC/roof

Is the home rented out to others?

Yes

Is the home vacant?

Yes

List the value of any valuable possessions or collections, such as Musical instruments, silverware, fine art, furs, jewelry, computers, firearms, stamps, coins, hearing aids

There may be limitations on your policy for these types of items.

Do you have a fire/burglar alarm?

Fire alarm

Burglar alarm

If applicable, what company monitors your alarm?

Auto Customers

Any new licensed household members or drivers?

Yes

If so, please provide name, date of birth, license number, and which vehicle they use

Please describe and list the value of any modifications made to any vehicle.

If your vehicle is parked/garaged at an address other than your home, please provide the location.

Please describe the annual mileage driven for each vehicle.

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AMR Insurance

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Homeowners Customers

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