 Required
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Full Name
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Email address
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Street Address |
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City
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Province |
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Postal Code
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Phone |
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Year House Built
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No. of Storeys |
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Ground Floor Area
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sq. ft |
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Step
2 - Basic Additional Features Extra Bathrrom(s) excess
of one with 3 fixtures
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3 fixtures |
No. of Half Bathroom(s) |
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2 fixtures |
No. of Additional
Plumbing Fixture
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Finished Attic |
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sq.ft |
Finished Basement |
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sq. ft |
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Walk-out Basement |
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sq. ft |
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Porches |
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sq. ft |
No. of Wood/Cement Balconies of Decks |
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No. of Roofs over Balconies or Decks |
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No. of Hearths |
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No. of Inside Chimney |
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No. of Outside Chimney |
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No. of Prefabricated Metal Fireplace |
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No. of Prefabricated Fireplace Inserts |
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No. of Gas Fireplace with Metal Chimney |
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No. of Gas Fireplace Direct Vented |
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Step
3 Additional Feature (Built ins) |
| Air Conditioner |
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Hot Tub (not jetted tub) |
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| Air Exchanger |
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Intercom Sys |
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| Central Vacuum Sys |
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Interior Sprinkler Sys |
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| Countertop Range |
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Jetted Hot Tub |
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| Dishwasher |
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Microwave |
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| Dryer (built-in) |
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Oven |
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| Electronic Air Filter |
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Refrigerator |
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| Garage Door Opener |
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Sauna |
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| Heat Exchanger |
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Security & Fire Alarm |
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| Washer (built-in) |
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Skylight |
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| Water Purification Sys |
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Smoke Alarm |
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| Water Softner |
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Video Door Answering Sys |
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| Wet Bar |
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Whole-house Fan |
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| Wood-buring Stove |
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Final Steps |
Are you insured now? |
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Insurance Company |
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Year Built of your Building |
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Security System: |
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Burglary Alarm
Fire Alarm
Gated Community
Block Watch
None of the above
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Date if Birth |
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Mortgage free? |
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Any Claim ? |
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If Yes, please describe your claims |
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Amount of
Claims |
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Are you sub renting? |
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How many tenants? |
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