New York Landlord's Insurance Quote from Raymond Sheridan Insurance and Financial

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We Are an Independent Agent Representing New York's Major Companies!

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Landlord's Insurance Quote Request Form One Simple Form - takes only 2-3 Minutes!

Your Name:
Business Name:
Property Address:
City:
State: (Must be New York)
Zip/Postal:
E-Mail (REQUIRED):
E-Mail (again for accuracy):
Phone:
Fax (optional):


Dwelling Information

Year Building Built:
Building Square footage:

Occupancy:	Owner Tenant

Occupancy Type: (describe entities & and number of units, such as "4 unit apartment" or "2 offices and barber shop", etc.)

Type foundation:	Slab Crawlspace over slab Pier & Post Other (list in remarks)

Type finished basement, if any:	None Full 25% 50% 75%

Type Roof:	Shingle Wood Shake Tar/Gravel Spanish Tile Metal Other

Type of Siding	Brick Vinyl Wood Aluminum

Number of stories:	One Two Three 4 or more

# of feet to nearest fire hydrant:	# of miles to nearest fire station:

Currently Insured?	Yes No
Name of Carrier & how long insured?

Prior Claims?	Yes No
Describe claims in detail:

Plumbing type:	Copper Galvanized Mixed (Copper/Galvanized)

Coverages:

Building Cov. $ Contents $

Liability Cov. $ Deductible $
($250, $500, $1,000, etc.)

Other Coverage/Remarks
(describe any extra coverages needed such as business interruption, robbery, computers, etc.):

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Thank you for filling out this form COMPLETELY!
We value your input as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or ANY other purposes. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release us from any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.

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"Serving New York Residents and Business for All Their Insurance Needs for Over 40 Years!"
Raymond Sheridan Financial, Inc. 19 E Washington Avenue Pearl River, NY 10965 Phone: 1-845-735-8080 Fax: 1-845-735-8444
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