J and L Insurance | Condominium Insurance Quotes

Condominium Information Form

Please fill out this form to give us the opportunity to give you the best quote for your home.

Contact Information First Name:
Last Name:
Home Telephone:
Mobile/Business Telephone:
Email:

General Property Information Street Address:
Unit / Apt Number:
City::
State:
Zip Code:

New Home Re-Finance

Current Insurance Company:

Type of Residence: Primary Secondary Rental

Homestead Property? Yes No

Number of Bedrooms:
Number of Bathrooms:
Square Footage:
How Many Floors?
Year Built:

Construction Type: Wood Frame Masonry/Concrete

Roof Covering:

What floor is the unit on?
How many units in your building?
Total Number of Floors in Building?

Do You have Dogs? Yes No

Security & Protection Central Station Alarm System? Yes No

Deadbolts? Yes No

Smoke Detectors? Yes No

Hurricane Shutters? Yes No

Coverage Amount

Select the replacement value of your home.
Note: Coverage is for Dwelling only, and doesn't include land value.

Coverage Amount for Renter's Insurance:

Personal Property Value $