Homeowner’s Questionnaire- Sharie

What brought you to our site today?

Purchasing a new homeRefinancing my homeComparing my current policy with a McCabe insurance policyUpdating my current policy

Your Email (required) Your Name (required)

Your Phone Number (Required)

Your Date of Birth (MM/DD/YYYY) (required)

Name and Date of Birth (MM/DD/YYYY) for another person/s appearing on the policy (MM/DD/YYYY)

Name and Date of Birth (MM/DD/YYYY) for another person/s appearing on the policy (MM/DD/YYYY)

Your current address(required)

City, State and Zip (required)

New address if you are moving

City, State and Zip




Number of Stories:

Square Footage:

Foundation Type:

Basement :

Basement Type:

Exterior Walls (you may select more than one):

Exterior Walls (if more than one type, please state what percentage of each):


Approximate Age of Roof:

Exterior Features

Number of Sliding Glass Doors:

Number of Bay Windows:

Number of Bow Windows:

Number of Atrium Windows:

Number of Picture Windows:

Number of Skylights:

Kitchen & Baths


Year and description of last upgrade:

Countertops made of:

If other countertop type, please specify here:


Number of Full Baths:

Number of Half Baths:

Year and description of last upgrade:

Wall, Ceiling & Floor Finish

Wall Finish:

Percent Paint:

Percent Wallpaper/Vinyl:

Percent Wood Paneling:

Percent Ceramic Tile:

Percent Mirrors:

Percent Stone:

Percent Other:

Ceiling Finish:

Recessed Lighting (percentage or number):

Floor Finish:

Percent Carpet:

Percent Hardwood:

Percent Laminate:

Percent Ceramic Tile:

Percent Vinyl:

Heating and Cooling


Heat Source/Fuel:

Numer of Heat Pumps:

Approximate Age of Heating/Cooling:


Number of Central AC Units:

Number of Window Units:

Interior Features


Central Burglar Alarm: YesNo

Central Fire Alarm: YesNo

Interior Sprinklers: YesNo

Central Stereo System: YesNo

Central Vacuum System: YesNo

Intercom System: YesNo

Fireplaces & Wood Stoves:

Number of Wood Burning Fireplaces:

Number of Gas Fireplaces:

Number of Free Standing Wood Burning Stoves:

Number of Pellet Stoves:

Other Interior Items

Finished Attic (number of sq. ft.):

Number of French Doors:

Number of Hot Tubs:

Number of Jacuzzis:

Number of Wetbars:

Number of Saunas:

Garages & Carports


Number of Cars:


Attached Structures

Wood Deck: YesNo

Deck Made of:

Approximate Sq. Ft.:

Open Porch: YesNo

Approximate Sq. Ft.:

Enclosed Porch: YesNo

Approximate Sq. Ft.:

Detached Outside Structures

Number of Hot Tub/Jacuzzi:

Number of Sheds and Size of Each (S, M, L):

Swimming Pool (Underground): YesNo

Approximate number of gallons:

Swimming Pool (Above ground): YesNo

Approximate number of gallons:



Any claims been reported in the last 3 years? If so, date of claim and brief description.

How long have you been at this address?:

If less than 3 years please list prior address:

Current Homeowners Deductible ($):

Please list any additional coverage (i.e. sewer and drain, identity recovery etc.):