Kyle Insurance Co. Property Quote
Please fill out this form so we can begin working on a quote for you ASAP. Please note a third party (Realtor, Lender ETC) is not allowed to fill out this Form without a signed copy of the Power of Attorney submitted to Kyle Insurance Co. LLC.
Name
Date of Birth
Spouse or Additional Owner Name
Spouse or Additional Owner Date of Birth
Relationship between First and Second Person
Select an option
Husband/Wife or Legal Spouse
Domestic Partner
Boyfriend/Girlfriend
Parent/Child
Other Family Member
Other Non-Family Member
Phone Number
Email
Property Address you are looking to insure
Old Property Address (address you are moving from) or Mailing Address (Required on New Purchases)
What type of home are you looking to insure?
Select an option
Single Family or Single Family Attached (one unit)
Duplex (both sides)
Townhouse
Condo
Mobile or Manufactured Home
Modular
Multi Plex 3+ units (whole building)
Other (please put in note to agent)
How is this home occupied?
Select an option
Primary Home (9+ Months by myself and/or my spouse)
Secondary Home (I occupy and go back and forth multiple times a year (occupied 6+ months)
Seasonal Home (I'm a Snowbird & spend around 3-6 months here & the home is unoccupied when gone)
I rent the home I live in and do not own it (Renters Insurance)
Annual Rental Insurance ( I have an tenant or family that rents from me)
Short Term Rental Insurance, rental only. (options are very limited in our area)
Short Term Rental Insurance, owner and tenant mix. (options are very limited in our area)
I have a friend or family member that lives in the unit and pays no or very little rent
Builders Risk (this is Ground up New Construction to be occupied in the future)
Builders Risk (this is Cosmetic Renovation of an existing structure to be occupied in the future)
Builders Risk (this is Structural Renovation of an existing structure to be occupied in the future)
Vacant
Would you like a Flood Insurance Quote? All FEMA/NFIP policies are the same rate (Everyone is at risk of flood damage)
Select an option
Yes (please send an elevation certificate if you have one)
No, I already have an active Flood Policy.
No, I do not want a quote
Will the home be occupied by the owner or tenant within 30 days of the policy effective date? (This is required to be complied with for most Homeowners and Dwelling Fire policies)
Select an option
Yes
No
Type of Rental exposure? (Minimum Rental Period)
Select an option
0 - There are no rentals at this property
Daily (less than one week)
Weekly (one week or more at a time)
Monthly (one month or more at a time)
Semi Annual (six month minimum)
Annual (12 month lease)
Number of rental periods in a year?
Select an option
0 - There are no rentals at this property
1
2-5 in an year
6-12 in a year
13-20 in a year
21-34
35 or more
Reason for shopping?
Select an option
This is a new purchase of a home/property
I have an active insurance policy and am looking for something less expensive
I have an active insurance policy and am looking for better coverage
I "HAVE" a policy but have been non-renewed by the current carrier (policy is still active)
I "HAD" a policy but have been non-renewed by the current carrier (policy is not active)
I currently own the home/property and have a forced placed policy from my lender
I currently own the home/property and have no insurance
Other (please put in note to agent)
Date you close or closed on the home
Mortgage?
Select an option
No Mortgage
I have or will have a Mortgage
Is the property owned or will be owned in the name of a Trust or an LLC?
Select an option
No
Yes - Revocable Trust (Please put name in Note to Agent section)
Yes - Irrevocable Trust (Please put name in Note to Agent section)
Yes - LLC (Please put name in Note to Agent section)
Any property or liability losses (not auto) reported to an insurance company in last 5 years (at any property owned) other than Act of God/Weather claims?
Select an option
0
1
2
3 or more
Is there any unrepaired damage or open claim on the property?
Select an option
The property has no unrepaired damage or open claim
Open claim with no unrepaired damage
Open claim with unrepaired damage (please put current damages in note to agent)
Unrepaired Damage, no claim (please put current damages in note to agent)
Year Roof Installed or Replaced?
Select an option
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
Older than 1995 or unsure
Year of Air Handler (Typically year of Central AC system)
Select an option
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1997
1996
1995
Older than 1995 or unsure
Year Water Heater Installed or Replaced?
Select an option
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
Older than 1995 or unsure
Additional Info, please select all that apply.
I have a Pool and/or Spa
I have a Full Screened Enclosure or Pool Cage
I have a Dog (Kyle loves dogs and has 4 rescues) Please put breeds in note to agent
I have a Trampoline
I have Solar Panels for electric (Not Pool Heat)
I have Solar Pool Panels to heat my pool (not for electric)
I rent rooms in my home
I rent my home while not in use (options are very limited in our area)
I have farm animals (Chickens, Goats, Cows, Pigs Etc)
The home has a fuel tank on the premise, not the small one for my BBQ
The home has Polybutylene Plumbing
The roof has more than one patch/repaired section
There is Home Day Care conducted out of the home
Owner is a professional athlete, elected politician or public figure of any kind
I/We own recreational vehicles (snow mobiles, dune buggies, mini bikes, ATVs, etc.)
The home has uncorrected fire code violations
The building is under construction or renovation or reconstruction
I do not live in the home but Family does
The property is in a state of disrepair
Section 8 or Subsidized rent
The house is for sale (I'm selling it)
None of these applies
Possible Discounts
I have a Central Fire "Alarm System" that connects to monitoring service
I have a Central "Burglar Alarm" System that connects to monitoring service
I live in a Single Entrance Community
I live in a Gated Community
I live in a Gated and 24 Guarded Community
AARP
AAA
Non Smoker (All Household Members)
None of these applies
What percentage of the year following the policy effective date will the insured and/or the insured's spouse live in the building
Select an option
80% or more
51% - 79%
50% -1%
0%
During the last 5 years has any applicant been indicted for or convicted of any degree of the crime of arson, fraud or any other arson-related crime?
Select an option
Yes
No
Have you or any applicant been involved in a first-party personal lines lawsuit against a homeowner's insurance company?
Select an option
Yes, we won the suit
Yes, we lost the suit
No
Quality Grade of my Home
Select an option
Economy
Basic or Builder’s Grade
Above Average or Semi-Custom
Custom
Luxury or Designer
Acres of Land
Select an option
Less than one acre
1-2 acres
2-4 acres
5 acres
More than 5 acres
What kind of coverage are you looking for?
Select an option
$ Cost Conscious Lower Coverage & Cost
$$ Value Conscious Balanced Coverage & Cost
$$$ Coverage Conscious Most Coverage, Higher Cost
PDF **ONLY** Upload - 4-Point, Wind Mit, Current Policy, Drivers License or any other documents
Select a File
Image/Screen Shot **ONLY** Upload - 4-Point, Wind Mit, Current Policy, Drivers License or any other documents
Select a File
To get an accurate quote we need to run your loss history and consumer reports (soft credit check) If you ask us to bind coverage you automatically agree for the reports to be run.
Select an option
I give permission to run loss history & consumer reports
Do not run my loss history & consumer reports (you can still get a quote but it may not be accurate)
Note to Agent
1500
How did you hear of Kyle Insurance Co?
Select an option
Current Client, Friend, or Coworker
Facebook
Google
Realtor - Julie Oberlin
Realtor - Lindsey Springsteen
Realtor - Mary Dreier
Realtor - Rachael Guertin
Realtor - Jennifer Goode
Realtor - Other
Lender/Loan Officer
Sales Office - Del Tura/Landmark
Other
Terms and Conditions
I understand that proof of prior coverage or renewal offer or notice of non-renewal (declarations page unobscured) or proof of new purchase may be required before quoting and/or binding and carriers may require additional documentation.
Properties may be subject to pre and/or post-binding inspections. Virtual inspections may also be required.
The request for an insurance quote is subject to the information you provide on this form and any other information you provide and is subject to verification by Kyle Ins Co, the carrier providing coverage, and is subject to inspection for additional verification.
You (the "Applicant") declare that the information provided to Kyle Ins Co for the purpose of this quote is true, complete, and correct to the best of your knowledge and belief. Any misinformation can affect rates and eligibility and can cause a carrier to cancel a bound policy or issue a non-renewal.
Any changes to the deed must be communicated by you to Kyle Ins Co. which may cause the policy to need to be re-written.
If Paperless delivery of documents is an option from the carrier, we automatically enroll you.
I agree to the terms & conditions above.
Submit
Powered by