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913-825-2700

12721 Metcalf Ave Suite 100
Overland Park, KS 66213

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Landlord Insurance Quote

from Capstone Insurance Agency

To request an insurance quote for insurance, complete the form below.

Personal Information

First name ✶

Last name ✶

Street address ✶

City ✶

State ✶

ZIP ✶

Phone

Date of birth ✶

Occupation

Preferred contact method(s) ✶

Call

Text

Property Information

General

Year built ✶

Type ✶

Stories ✶

Construction

Foundation

Number of units

Living space

sq ft

Age of electric

yrs

Age of plumbing

yrs

Age of heating

yrs

Interior

Full baths

Half baths

Chimneys

Hearths

Central air?

Yes

Security system?

Yes

Finished basement?

Yes

Finished bsmt size

sq ft

Exterior

Roof type

Age of roof

yrs

Garage type

Garage size

Deck?

Yes

Deck size

sq ft

Screened porch?

Yes

Screened porch size

sq ft

Swimming pool?

Yes

Is the pool fenced?

Yes

Fire hydrant within 1,000 feet?

Yes

Insurance Coverage Information

Currently insured?

Yes

Number of claims in past 5 years

Current Insurance Policy

Insurance company

Policy expiration

Coverage amount

Current policy declarations page (PDF)

This is optional but can help us with the quoting process

Comments or questions

I understand that insurance coverage is not bound or altered until I receive confirmation by an authorized representative of Capstone Insurance Agency ✶

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Licensed in Kansas, Missouri, Nebraska, and Arizona

12721 Metcalf Ave Suite 100
Overland Park, KS 66213

913-825-2700