Buying a new house - Wenclewicz Insurance

"*" indicates required fields

1Products

2Contact Info

3Location

4Documents

5Final Comments

Primary Policyholder Name*

First Last

Phone*

Email*

New Address*

Street Address Address Line 2 City State ZIP Code

Dwelling Type*

Home

Condo

Purchase Price

Year Built

# of Stories

Square Footage

Not including basement

Garage

Attached

Detached

One Car

Two Car

Three Car

Exterior Construction Type

Please indicate: Brick/vinyl/ wood and % of type

How Many Fireplaces?

Number and Type of Bathrooms

Please indicate how many bathrooms and what type full/half, etc.

Number of Baths

Type of Baths

Foundation

Slab / Crawlspace / Basement, if basement % finished

Type

Basement %

Number of patios & decks and Approx Sq Footage

Type of Roof

( most are asphalt )

Any updates to the following?

Please Include the year. Click the + to add more

Roof

Heating

Plumbing

Electrical