Closing Date
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Cancel Date
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Referred By
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Prior Company
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Year Built
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Square Feet
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Purchase Date
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Mortgage Amount
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Sale Amount
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Owner or Tenant
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Type
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Do you have pets?
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Does your property
have the following features:
Select all that apply
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Is the home occupied or vacant?
Move in Date
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Please Provide Number
of
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If home is over 35 years, do
you have documented updates?
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If over 50 years -
must have licensed Florida electrician,
3-point inspection: Electric, Roof
and Heating.
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Have you ordered 3-point inspection?
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Flood:
Is your home in a Flood Zone?
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Please provide an elevation
certificate.
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Preferred Flood Quote
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Wind:
Is your property East of US-1 & I-95?
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If yes, you will need
a Wind Policy from Citizens.
If your property is West of US-1 and I-95, Wind is already
included in your quote.
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Name of Title Company
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Telephone
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Name of Mortgagee
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