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Has any Applicant/Named Insured had a Bankruptcy, Foreclosure or Repossession in the past 3 years?

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Does the loss involve arson or liability losses?

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Is this dwelling on an open foundation?

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Any lake, pond, or dock on the premises?

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Is this a modular or modified mobile home?

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Any coverage declined, cancelled or non-renewed during the last three years?

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Has Applicant had any foreclosure, repossession, bankruptcy, judgement or lien procedures filed during the past five years?

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During the last five (5) years (ten10) years in RI) has any applicant or household member been indicted or convicted of any crime? (In RI, failure to disclose the existence of an arson conviction is a misdemeanor punishable by a sentence of up to one year of imprisonment.)

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Any residence employees?

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Any other residences owned, occupied, or rented?

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Is applicant delinquent on mortgage or tax payments?

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Is building retrofitted for earthquake? (if applicable)

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Is there any existing fire, water or structural damage?

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Was the structure originally built for other than a private residence and then converted?

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Notes

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Add Trailer(s)

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By clicking submit below you agree to the following. To offer you an accurate quote, we will use information from you and other sources, such as your driving, claims and credit histories. Please review our Privacy Policy and information about our use of consumer reports. Insurance prices and products may vary based on how you buy (e.g., mobile, tablet, phone, agent etc.). Please answer our questions accurately, as accidents and violations discovered only by ordering consumer reports cause rates to be higher than if disclosed by you.
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About Crown Superior

Established in 2011 we have over 10 years experience finding the lowest quotes for our customers. Call us today or submit a quote online and we will find you the most affordable quote that we can.

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