Hamby & Aloisio, Inc. - Homeowner's Questionnaire

:: Questionnaire ::

Homeowner's Questionnaire

Name:
Email address:
What is the current square footage of your home?
Is your home rented out any time throughout the year?	Yes No
Have you added on to the size of your home or remodeled in any way?	Yes No
If yes, please explain. Include cost.
Have you installed a 24 hour monitored burglar/fire alarm system?	Yes No
Have you built a swimming pool within the last year?	Yes No
If yes, is it fenced?	Yes No
Do you work from home or keep any business property at your home?	Yes No
Do you provide any baby-sitting/day care services from your home?	Yes No
Do you own any property that is not insured on this policy for which you would like a quote?	Yes No
Do you own a boat? Some boats may be scheduled onto your homeowner’s policy.	Yes No
Do you own any motorcycles, mopeds, mini-bikes, golf carts or all terrain vehicles?	Yes No
Earthquake insurance is not automatically included in your homeowners policy. If you currently do not have earthquake coverage, would you like a proposal? Please be aware that a fault exists between Macon, G.A. and Charleston, S.C.	Yes No
Your homeowner’s policy includes very limited coverage for items such as furs, jewelry, coins, guns, fine arts, collectibles and stamps. If you do not have your valuables scheduled are you interested in doing so? Current appraisals would be necessary.	Yes No
If you currently have your valuables scheduled on this policy, have you purchased any new items that you would like to add?	Yes No
Are you a member of any Board of Directors?	Yes No
Do you have a mortgagee?	Yes No
Name of mortgagee?
Address of mortgagee?
Account number:
Is your policy escrowed?	Yes No
Would you be interested in speaking with an agent about:
Automobile Insurance	Long Term Care
Umbrella Coverage	Estate Planning
Insurance for your Business	Retirement Planning
Individual Health	Mutual Funds
Asset Inventory	Life Insurance
Bonds
If so, when is the best time to call:
Phone number: