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 *
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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