Agency Mortgage Form - Bamboo
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Note to Agents: Please do not use this form to submit quote requests.

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Borrower Information

Borrower Name(Required)
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About the property

Property Address
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Property Details

Is this currently or will this be their primary residence?(Required)
How will this home be used?(Required)
Borrower's Primary Address
Is there a hot tub, pool, or spa on the property?(Required)
Are there solar panels?(Required)
Any dogs living on the property?(Required)
Is there a fire hydrant within 1,000 feet of the property?(Required)

Additional Policies

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Does the customer have significantly more than $10k worth of jewelry and be interested in a rider policy to have it fully covered?(Required)
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Bamboo Ide8 Insurance Services ("Bamboo Insurance") is Managing General Agency licensed to sell property-casualty insurance products; NPN 18657046; CA License #0M31082. Issuance of coverage is subject to underwriting review and approval.
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