REIQR - RiskWell

Real Estate Investor Quote Request

Complete the below request form and our team will be in touch ASAP.

"*" indicates required fields

How many separate properties do you need a quote for right now?*

If you need quotes for more than 15 properties, please email REI@riskwell.com and we will personally assist with your request.

Are you a current client of RiskWell?*

What effective date do you want for your new insurance?*

Please note, we are not able to backdate coverage. Today's date is the first available day for coverage to begin.

Your Name*

Your Date Of Birth*

Is the property held in your personal name or another legal entity (LLC, etc...)*

Entity Name*

Phone Number*

Email*

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Physical Address - Property 1*

Street Address Address Line 2 City State ZIP Code

County - Property 1

Building Type - Property 1*

*Please note we are not able to provide coverage for mobile manufactured homes*

# Of Units - Property 1*

Tell us the number of units that you own/need coverage for.

Intended Use - Property 1*

Building Coverage Amount Needed ($) - Property 1*

For a "flip" property, use the purchase price + your renovation estimate to determine the property coverage amount.

Monthly Rent - Property 1*

Purchase Method - Property 1*

Creative Financing Method - Property 1*

Policy Payment Method - Property 1*

Note that if you select "title company or escrow account" you will be required to enter lender/mortgagee information.

Lender/Mortgagee - Property 1?*

Lender/Mortgagee Name - Property 1*

Please provide the full name of the lender.

Lender/Mortgagee Email - Property 1*

Input the primary contact email for the lender/mortgagee

Lender/Mortgagee Mailing Address - Property 1*

Street Address Address Line 2 City State ZIP Code

Full name and mailing address for underlying seller - Property 1*

Physical Address - Property 2

Street Address Address Line 2 City State ZIP Code

County - Property 2

Building Type - Property 2

# of units - Property 2

Intended Use - Property 2

Building Coverage Amount Needed ($) - Property 2

For a "flip" property, use the purchase price + your renovation estimate to determine the property coverage amount.

Monthly Rent - Property 2

Purchase Method - Property 2

Creative Financing Method - Property 2

Policy Payment Method - Property 2

Note that if you select "title company or escrow account" you will be required to enter lender/mortgagee information.

Lender/Mortgagee - Property 2?

Same Lender/Mortgagee For Property 2 As With Property 1?

Lender/Mortgagee Name - Property 2

Please provide the full name of the lender.

Lender/Mortgagee Email - Property 2

Input the primary contact email for the lender/mortgagee

Lender/Mortgagee Mailing Address - Property 2

Street Address Address Line 2 City State ZIP Code

Full name and mailing address for underlying seller - Property 2

Physical Address - Property 3

Street Address Address Line 2 City State ZIP Code

County - Property 3

Building Type - Property 3

# of units - Property 3

Intended Use - Property 3

Building Coverage Amount Needed ($) - Property 3

For a "flip" property, use the purchase price + your renovation estimate to determine the property coverage amount.

Monthly Rent - Property 3

Purchase Method - Property 3

Creative Financing Method - Property 3

Policy Payment Method - Property 3

Note that if you select "title company or escrow account" you will be required to enter lender/mortgagee information.

Lender/Mortgagee - Property 3?

Same Lender/Mortgagee For Property 3 As With Property 1?

Lender/Mortgagee Name - Property 3

Please provide the full name of the lender.

Lender/Mortgagee Email - Property 3

Input the primary contact email for the lender/mortgagee

Lender/Mortgagee Mailing Address - Property 3

Street Address Address Line 2 City State ZIP Code

Full name and mailing address for underlying seller - Property 3

Physical Address - Property 4

Street Address Address Line 2 City State ZIP Code

County - Property 4

Building Type - Property 4

# of units - Property 4

Intended Use - Property 4

Building Coverage Amount Needed ($) - Property 4

For a "flip" property, use the purchase price + your renovation estimate to determine the property coverage amount.

Monthly Rent - Property 4

Purchase Method - Property 4

Creative Financing Method - Property 4*

Policy Payment Method - Property 4

Note that if you select "title company or escrow account" you will be required to enter lender/mortgagee information.

Lender/Mortgagee - Property 4?

Same Lender/Mortgagee For Property 4 As With Property 1?

Lender/Mortgagee Name - Property 4

Please provide the full name of the lender.

Lender/Mortgagee Email - Property 4

Input the primary contact email for the lender/mortgagee

Lender/Mortgagee Mailing Address - Property 4

Street Address Address Line 2 City State ZIP Code

Full name and mailing address for underlying seller - Property 4

How did you first hear about RiskWell?

Personal Referral

Google Search

McKinney Chamber of Commerce

Local event

Facebook Group/Post

YouTube video

Word of mouth

Who referred you to us?*

If this is a Rehab/Flip, are you acting as your own General Contractor for your deals?*

Your property insurance program DOES NOT cover construction liability. You need General Liability Insurance even if you're only acting as a GC on your own deals.

What else do we need to know to deliver you an outstanding experience?

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