Home Owner Secondary Home
826 Belmont St. Hallandale,
FL 33009
$550,000
Dwelling Amount
HOC
Selected Insurance
Allstate Insurance
All State Complete Protect
$ 2270
Basic Premium
$2,785.12
Additional Coverages
$ 0
Fees and Taxes
Stamping Filing Fee
Surplus Line Tax
$225.12
$225.12
$225.12
Broker Fee
- $135
Insurance Application Progress
Policy Holder Information
Property Build, Interior and
Exterior Details
Underwriting Questions
Coverage and Mortgage History
Save as Draft and Exit
Underwriting Questions
SAVE DRAFT
CONTINUE
Property Type
Lorem ipsume toisume de ordered hermanso
granitas farnaicis
Occupied
Vaccant
Underwriting Questions
Lorem ipsume toisume de orderd hermanos this
is the granitas details
Animals or exotic pets kept on premises?
Yes
No
Bite History & Breed
Is the applicant owner of the property?
Yes
No
Comment
Is any applicant considered high-profile such as
politician, entertainer or professional athlete?
Yes
No
Please Explain
Coverage declined, cancelled or non-renewed during the last 3 years?
Yes
No
Has applicant has a foreclosure, repossession, bankruptcy, judgement, or lien during the past 5 years?
Yes
No
Any business on the premises?
Yes
No
Does Unit have more than two mortgagees?
Yes
No
Is the Unit maintained in insurable condition and/or shows pride of ownership?
Yes
No
Does applicant have history of arson or fraud?
Yes
No
Does risk have aluminum or knob and tube wiring, cloth wiring, fuses, or double taps?
Yes
No
Does unit have cast iron, galvanized, polybutylene piping?
Yes
No