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All fields are required except where noted. Homeowners Update Questionnaire General Information First Name: Last Name: Address: City: State: Zip: Telephone: - - EMail Please provide property location Property Address: Property City: Property State: Zip: Please provide the year that the following systems were last updated Roof: Plumbing: Heating: Electrical: Since your coverage was updated have you aquired any of the following? Computer Equipment and Sofwtare Silverware Artwork Furs Since your coverage was last updated, have you? Conducted Business from your home Run a day care business in your home (charge a fee?) Made structural improvements or additions (finished basement, deck, etc..) Please check off the following applicable to your household Smoke Detectors Dead Bolts Central Alarm System Two or more fire extinguishers Multiple Policies Auto Coveragee All Household Non Smokers Turner Barker Insurance is a subsidiary of Gorham Savings Bank. Insurance products are offered through Turner Barker Insurance. Product offerings and insurance sold are not deposit obligations of, nor guaranteed by the Bank and are not covered by Federal Deposit Insurance.