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CONDOMINIUM OWNERS / RENTERS QUESTIONNAIRE |
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Please Note: Our Agency Will Contact You Within the Next Business Day After Submitting REQUEST |
Applicate_name: condo renters
Applicate_name0: test
property_address: test
city_st_zip: test
tele_fax:
email_address:
date_of_birth_occupation:
mailing_address:
city_st_zip0:
Personal_Property_Coverage_Desired:
Year_Built:
Square_Footage:
Number_of_Units:
Number_of_Stories:
Type_of_Roof:
Sprinklers_yes:
Sprinklers_no:
Central_alarm_yes:
Central_alarm_no:
Claims_yes:
Claims_no:
Submission: Submit information via email
HTTP User Agent: Mozilla/4.0 (compatible; MSIE 7.0; Windows NT 5.1; Trident/4.0; FunWebProducts; .NET CLR 1.1.4322; .NET CLR 2.0.50727; .NET CLR 3.0.4506.2152; .NET CLR 3.5.30729)
Date: 21 Nov 2011
Time: 16:41:58
Applicate_name: test web-Joy
Applicate_name0: condo owners/renters
property_address:
city_st_zip:
tele_fax:
email_address:
date_of_birth_occupation:
mailing_address:
city_st_zip0:
Personal_Property_Coverage_Desired:
Year_Built:
Square_Footage:
Number_of_Units:
Number_of_Stories:
Type_of_Roof:
Sprinklers_yes: ON
Sprinklers_no:
Central_alarm_yes: ON
Central_alarm_no:
Claims_yes: ON
Claims_no:
Submission: Submit information via email
HTTP User Agent: Mozilla/4.0 (compatible; MSIE 7.0; Windows NT 5.1; Trident/4.0; FunWebProducts; .NET CLR 1.1.4322; .NET CLR 2.0.50727; .NET CLR 3.0.4506.2152; .NET CLR 3.5.30729)
Date: 02 Dec 2011
Time: 11:10:21
Applicate_name: Sanny Ryan
Applicate_name0: HO6 (per Kristi Wells)
property_address: 700 Illinois Street, #202
city_st_zip: San Francisco, CA 94107
tele_fax: 415-863-1734
email_address: sanny721@yahoo.com
date_of_birth_occupation: 07/21/1976 / CPA
mailing_address: same as above
city_st_zip0:
Personal_Property_Coverage_Desired: 50000.00
Year_Built: 2002
Square_Footage: 1500
Number_of_Units: 20
Number_of_Stories: 5
Type_of_Roof:
Sprinklers_yes: ON
Sprinklers_no:
Central_alarm_yes: ON
Central_alarm_no:
Claims_yes:
Claims_no: ON
Submission: Submit information via email
HTTP User Agent: Mozilla/5.0 (Windows NT 6.1; WOW64; rv:10.0.2) Gecko/20100101 Firefox/10.0.2
Date: 19 Mar 2012
Time: 15:53:38
Applicate_name: RVP Investments
Applicate_name0: Condo owner intending to rent unit
property_address: 76 Ross Avenue#13
city_st_zip: San Anselmo, CA 94960
tele_fax: (44) 208 882 1428
email_address: rvp76@btinternet.com
date_of_birth_occupation: 02/08/1946, part time university tutor
mailing_address: 147 Pasteur Gardens,
city_st_zip0: London N18 1AH, UK
Personal_Property_Coverage_Desired: none
Year_Built: 1985
Square_Footage: 881
Number_of_Units: 13 but in blocks
Number_of_Stories: 2
Type_of_Roof: artificial felt-type tiles
Sprinklers_yes:
Sprinklers_no: ON
Central_alarm_yes:
Central_alarm_no: ON
Claims_yes:
Claims_no: ON
Submission: Submit information via email
HTTP User Agent: Mozilla/5.0 (compatible; MSIE 9.0; Windows NT 6.0; Trident/5.0)
Date: 13 Apr 2012
Time: 09:28:33
Applicate_name:
Applicate_name0:
property_address:
city_st_zip:
tele_fax:
email_address:
date_of_birth_occupation:
mailing_address:
city_st_zip0:
Personal_Property_Coverage_Desired:
Year_Built:
Square_Footage:
Number_of_Units:
Number_of_Stories:
Type_of_Roof:
Sprinklers_yes:
Sprinklers_no:
Central_alarm_yes:
Central_alarm_no:
Claims_yes:
Claims_no:
Submission: Submit information via email
HTTP User Agent: Mozilla/5.0 (compatible; MSIE 9.0; Windows NT 6.1; WOW64; Trident/5.0)
Date: 19 May 2012
Time: 15:04:49
Applicate_name: Elisabeth Kleinbub
Applicate_name0: HO-6
property_address: 555 Pierce
city_st_zip: Albany, CA 94706
tele_fax: 510 5589119
email_address: ezkam@aol.com
date_of_birth_occupation: 7/23/61; Health Director
mailing_address: 939 Solano
city_st_zip0: Albany CA 94706
Personal_Property_Coverage_Desired: 50,000
Year_Built: 1977
Square_Footage: 1090
Number_of_Units: 479
Number_of_Stories:
Type_of_Roof:
Sprinklers_yes: ON
Sprinklers_no:
Central_alarm_yes:
Central_alarm_no:
Claims_yes:
Claims_no:
Submission: Submit information via email
HTTP User Agent: Mozilla/5.0 (compatible; MSIE 9.0; Windows NT 6.1; WOW64; Trident/5.0)
Date: 19 May 2012
Time: 15:07:10