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Personal details

Nationality: *
Make a choice...United Kingdom Ireland The NetherlandsBelgiumOther, namely...

Title: *
Make a choice...Mr..Mrs.Ms.

Name: *

Last name: *

Telephone number: *

E-mail: *

NIE number:

Date of Birth:

Resident in Spain:
Make a choice... Yes No In the near future

Details of the to-be insured home

Address:

Address 2:

Postal code:

City:

Property owner or rented?
Make a choice...Property ownerRented

Use of home:
Make a choice...Holiday homeSemi-permanent (not longer than 6 months consecutively vacant)PermanentLong-term rentalShort-term rentalHoliday and long-term rental (not longer than 6 months consecutively vacant)Holiday and short-term rental (longer than 6 months consecutively vacant)

Type of home:
Make a choice...Apartment ground floorApartment first/second/third (etc.) floorPenthouseDetached houseSemidetached houseCountry home

Location of the home:
Make a choice...In the city or in a villageIn an urbanization

Year of construction:

Year of renovation:

Size of home (in m2):

Size in m2 of terrace / balcony / garage etc:

Number of rooms:

Security of the windows:
Make a choice...Fenced windowSafety glassOther, namely...

Security of the doors (please name every door):
Safety doors
wooden doors or closed doors
Other, namely:

Is the alarm connected to the emergency center?
Make a choice...YesNo

Is there a safe?
Make a choice...Yes (safe is built-in and/or heavier than 100 kilos)No

Amount to be insured for buildings:

Amount to be insured for contents: (Calculate the value of your contents here)

Amount of valuable items from € 2000 to be insured:

Desired start date?
Make a choice...DirectlyWithin one weekWithin two weeksWithin one monthLonger than 3 months

Other questions

Have you been in contact with Hypotienda before?
Make a choice...YesNo

How did you find us? *
Make a choice...InSpanje.nlVertreknaarSpanje.nlRadioNewsletterThrough a friend or acquaintanceThrough my estate agent or lawyerThrough GoogleOther, namely... (please indicate in the additional comments field below)

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