For a Flood Email Quote, please fill
out the form below. If you are in the process of a loan
closing, refinancing or other lender requirement, please
call 1-800-41-TANGO (82646)
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First
Name:
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Middle Initial:
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Last Name:
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Mailing Address:
(Address, City, State,
Zip)
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,
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Phone:
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ext.
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If we need to speak with you, when is the best day/time to call:
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E-Mail Address:
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Property
Information
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Do
you have a current flood policy?
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Yes
No
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If
so, what is the expiration Date?
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- -
(MM-DD-YYYY)
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If
property to be insured is not the same as Mailing Address,
please provide address:
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,
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What percentage of the year do you spend at residence
to be insured?
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Less than 80%
80% or Greater
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Is any business conducted at
this residence?:
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Yes
No
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Building Type:
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Number of
floors in building (including basement)
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Year of
Construction:
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ex: 1985
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Foundation Type
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Garage Type:
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Attached
Detached
None
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Any flood loss payments or
Federal Disaster Relief payments paid out for this
address.
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Yes
No
Unknown
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Current Home Rebuilding cost
or Coverage A amount.
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$
If you don't know, type in 'unknown' and we
will calculate for you.
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How did you hear about tangotangotango.com
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