Untitled Document

Landlords Buildings & Contents Insurance

Please tick the box to confirm you have read our initial disclosure document before submitting your enquiry

1st Application Details

Title

Initial

Surname

DOB

2nd Applicants Details (if applicable)

Title

Initial

Surname

DOB

Property Details

Flat

Terraced

Semi Detached

Detached

Semi Bungalow

Detached
Bungalow

Number of Bedrooms (1-5)

Build Year

Full Postcode

Mortgage Details

Mortgage exchange date

Mortgage completion date

Type of cover
Buildings are insured upto a maximum rebuild cost of £300,000. Contents are insured up to a maximum of £40,000 if the property is rented on a furnished basis or £10,000 if the property is rented on an unfurnished basis.
Please choose the type of cover required between:
Building & Contents
Buildings only
If Buildings & Contents is selected , please choose the Contents cover required:
Furnished		Unfurnished
No Claims Discount
How many years have you been claim free for your investment properties? (up to a maximum of 5 years)
Buildings	*	Contents
Accidental Damage
This is a valuable extension of Landlords B&C and covers visable damage that has not been caused on purpose or inevitably. For example, the accidental damage of windows or mirror - Please indicate below. Remember: Accidential Damage is not available for contents if the property is let on an unfinished basis.
Buildings		Contents

Eligibility Questions

been convicted

1. Are you a private individual and is the property occupied solely for residential purpose and let on an Assured Shorthold Tenancy or to a company?	Yes	No
2. Is the property built with brick or stone and roofed with tiles or slates and in good state of repair?	Yes	No
3. Is the property showing signs damage by subsidence, landsip of heave?	Yes	No
4. Have you (or any residents at the property) suffered losses for which you could have made a claim on a similar policy?	Yes	No
5. Have you (or any residents at the property) ever been convicted, or are currently charged with any offence other than a minor driving offence, or had any personal insurance declined, cancelled or agreed on special terms?	Yes	No
6. Will the property be let to tenants seeking asylum in the British Isles, students or persons funding rent through the benefits agency or let under more than one tenancy agreement? (if 'yes' application will be declined)	Yes	No
7. Is the property located in an area prone to flooding?	Yes	No
8. Do you have any existing Landlords Buildings & Contents policies with Paymentshield?	Yes	No
If 'yes', how many policies are already held? (Maximum of 10 allowed)
Failure to disclose all circumstances relevant to the policy could invalidate any insurance policy could invalidate any insurance cover in the event of a claim. A fully completed Application Form produced and submitted from Inertia is the only acceptable means of submitting new busines to Paymentshield
By submitting this enquiry I/We agree that:- The information provided is true and accurate and that you as an introducer may provide details of this application other lending companies you feel best suited to fulfil my/our requirements and that we may be contacted for further information as required. A lender may use the information held by credit reference agencies in support of my/our application and may ask a third party to verify any information given in the application. You may hold the information given on this application on computer for as long as it takes to complete the loan.
I Agree

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