Home Phone Cell Phone Property Address Primary Owner Full Name DOB Second Owner Full Name DOB Third Owner Full Name DOB Previous Address Have you lived at this address at least 6 months What year was the home Built When purchased(month) (Year) Brick or Frame Square Footage Garage? Style(Circle): RanchBungalowCottage1 Story2 StorySplit FoyerTri LevelBy LevelOthers Basement: yesNo Finished: yesNo How many Bathrooms How many kitchens How many Fireplaces How many Bedrooms Fire Hydrant(Within 300 meter or more) Spice kitchen yesNo Cannabis Grown: yesNo Mortgages: yesNo 1 Mortgages: yesNo Fire hall km Away First time bought a House in Canada (Year) Months How long you have home or tenant insurance policy in Canada Is there central heat: yesNo Gas heat or Electric: yesNo Is there a wood burning stove: yesNo Is there a space heater: yesNo Alarm System: yesNo | if yes, Which Company Alarm Company Name How many people living on rent How old is the roof Shingles or Metal How old is the AC/Heater any electric updates Plumbing Updates Do you have animal's What kind of animal Breed of Dog Is there a pool is it fenced in Is it above ground Is there a trampoline Are any appliances or work vehicles outside Number of families Do you live in the home or rent to others Rental Value: Is the home currently vacant Is there sum-pump Alarm in sum-pump YesNo? Is there water backup: Back Flow Valve?Flapper Or Gate Any business operated in house: YesNo Select LocationAlbertaOntario First Name: Last Name: Company Name: Company Url: Your mail: Phone number: Additional Information or Requirements * 2 + 4 = ?
