Capstone Insurance
GET A HOME QUOTE
727-937-4291
info@capstoneinsurancegroup.com
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Capstone Insurance
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Renewal Questionnaire
Please enter your name and policy number listed on the letter you received:*
*Note: You CANNOT enter multiple policy numbers. Each policy/letter must have its own questionnaire completed*
Have you made any improvements or renovations to your home since you last reviewed the coverage amounts on your policy?
Yes
No
Is the name on your policy the same as that shown on your deed?
Yes
No
If you have a mortgage, is the mortgage information shown on your current declarations page correct?
Yes
No
If you own over $1,000 worth of Jewelry, Furs, Firearms, and/or silver, these items may not be covered properly under your home insurance policy. Would you like a quote for this valuable coverage?
Yes
No
If you own any antiques, fine arts or collections, the items may not be covered properly under your home insurance policy. Would you like a quote for this valuable coverage?
Yes
No
Do you work, maintain or operate a business, or keep samples for your business in your home? (Please include baby-sitting, lawn mowing, Tupperware, Mary Kay, etc.)
Yes
No
Would you like information on wind mitigation credits if you do not currently have these credits applied?
Yes
No
Do you own any water craft?
Yes
No
Do you own any animals?
Yes
No
Do you:
Own any additional property
Own any vacant land
Rent any portion of your home to others
Do you own a golf cart, go cart, mini-bike, jet ski, snow mobile or other powered vehicle not registered or separately insured?
Yes
No
Does your home have a pool? *Note: If you live at an association, do not need to include pool.
Yes
No
Does your home have:
A MONITORED Fire Alarm System
A MONITORED Burglar Alarm System
Fire Sprinklers
Storm Shutters
Fuse Box **please be sure**
Circuit Breakers
Your homeowners policy DOES NOT provide flood insurance. Would you be interested in a flood insurance quotation if you do not currently have a flood policy? (Remember, you can still purchase flood insurance even if you are in a low-risk zone.)
Yes
No
Would you be interested in a quotation for:
Life Insurance
Retirement Insurance
Health Insurance
Disability Insurance
Please review your current deductible amount. Would you be interested in a quotation for different deductible?
Yes
No
Would you be interested in a comparative auto insurance quote to to help save additional money? You may also visit our website to submit your current auto information.
Yes
No
Insured’s Signature
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