Vacant Questionnaire
1. Why is the home vacant?
2. Is the home equipped with centrally monitored fire and burglar alarms?
3. How long has the home been vacant?
4. Does the applicant own any other vacant properties? How many?
5. Is the home at risk of going into a foreclosure or bank owned status?
6. Is the home for sale? If so, for how long?
7. Is the risk currently insured? If not, how long has it been uninsured?
8. How often is the home visited?
Applicant Signature: ___________________________________________
Date: __________________________