Homeowners Insurance Renewal Checklist:

No changes have occurred (only sign if you are not completing survey due to no changes)

 X___________________________________

                 Named Insured Signature

Has your phone number changed? Do you have an email address? ________________________________________________________________________________________________________________________________________________

Have you made any recent improvements or upgrades to your home (lanais, screen rooms, remodels, roof replacement)? ________________________________________________________________________________________________________________________________________________

Have you built or added any new out buildings or fencing? ________________________________________________________________________________________________________________________________________________

Do you have any watches, jewelry, computers or equipment, fine arts, guns, collectibles or other valuable items that you would like to schedule on your policy? ________________________________________________________________________________________________________________________________________________

If you have a mortgage is our information still current? ________________________________________________________________________________________________________________________________________________

Is your home titled in the name of a trust, LLC or business name? ________________________________________________________________________________________________________________________________________________

Has the occupancy of your home changed (primary, seasonal, vacant or rented)? ________________________________________________________________________________________________________________________________________________

Do you have a trampoline or pool on your property?

________________________________________________________________________________________________________________________________________________

Do you have any new pets? ________________________________________________________________________________________________________________________________________________

Do you require more personal liability coverage? ________________________________________________________________________________________________________________________________________________

Do you have hurricane shutters or a central alarm system? ________________________________________________________________________________________________________________________________________________

Do you have any income producing hobbies? ________________________________________________________________________________________________________________________________________________

Have you purchased a boat, ATV or other recreational vehicles? ________________________________________________________________________________________________________________________________________________

Is the home currently held for sale? ________________________________________________________________________________________________________________________________________________

Any other information you would like to provide? ________________________________________________________________________________________________________________________________________________

Signatures of person completing survey:

X___________________________________________