Title * Mr.Mrs.MissDr.Rev.Snr.Snra.

First Name *

Surname *

E-Mail *

Date of Birth *

Telephone *

Mobile

Spanish NIE Number *

Address *

Post Code *

Town *

Province *

Post Code *

Renewal Date *

Permenent Residence * YesNo - Not RentedNo - Rented Long TermNo - Rented Short Term

Square Meterage Of Building (Approx.) *

Building Sum Insured *

Building Accidental Damage

Optional Claims Excess (0-600€) *

Contents Sum Insured

Contents Accidental Damage

Valuable Contents (single item over 2000 €)

Building Type * DetachedQuadSemi-DetachedApartment - Ground FloorApartment - AticoApartment - OtherRural

Year Built * 191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023

Year Of Reform (Rewired And Re plumbed) Never19801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023

Alarm * Yes - Not ConnectedYes - ConnectedYes - No

Is The Property Mortgaged YesNo

How long is the property unoccupied?

Other constructions, including pool, that is not living accommodation

Security Measures On Windows (Rejas/Security Locks etc)

Other Security Measures

Is there a Safe? * YesNo

Type Of Main Door * Solid WoodPVCGlassSecurity

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