Association Certificate of Insurance | Griffin Owens Insurance

Association and purchase details

Type of association *

Condominium association

Homeowners association

Association name *

Purchase price

Transaction type

New Purchase

Refinance

Renewal for existing owners

Settlement date

Month, day, year

Contact details

Name of person requesting certificate *

Phone number of person making request *

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Fax number to send certificate of insurance

Email address to send certificate of insurance

Purchaser / Owner Info, part 1

If you are requesting a certificate for a Homeowners Association there is no need to fill in the fields for the lender.

Please note below that the field "First & last name" refer to the name of the property owner or client, not the name of a loan processor who may be requesting the certificate.

First and last name *

Date of birth *

Month, day, year

Spouse first and last name

Primary phone number *

Email Address *

Purchaser / Owner Info, part 2

Do you currently have a unit owners policy?

Yes

I don't know

Please send me information about unit owners coverage

Yes

Property street address *

City and State *

ZIP / Postal code *

Mortgage Information

Mortgage company name

Mortgagee clause

Mortgage company street address / PO box

Mortgage company city, state, and ZIP

Loan number

Notes or comments