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Account number |
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Address
of the property to be insured |
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Is
this property : |
a
house
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a
flat
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What
will be it's purpose : |
main
residence
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second.residence
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| m.r.
+ gîte
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s.r.
+ location
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Are
you : |
the
owner
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the
tenant
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Number
of building : |
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Number
of main rooms : (not
to include kitchen, bathroom,
entrance hall and rooms under 7m², rooms over 40m² count
as 2 rooms) |
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Does
the property require major work ? |
yes
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no
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If
yes, detail the works to be done and when to be done : |
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Do
you have outbuidings (1) ? |
yes
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no
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if
yes, size of the outbuildings in m² : |
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Precize
the type of outbuildings : |
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Are
you insured for another property in France ? |
yes
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no
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Has
any policy been cancelled by your insurer ? |
yes
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no
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How
many claims have you made in the last 3 years ? |
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If
you are already insured for your French property, state the
name of the insurance company, the annual renewal date of
the policy and the last premium amount (in euros) : |
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(1)
Outbuildings : buildings not used as habitation joining or not the main
property (garage, hangar, shed...) |
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We
thank you for taking the time to fully complete your
application for property insurance with us.
Upon receipt, one of our English speaking advisors will
contact you to acknowledge your file. |
