{"id":391,"date":"2026-10-29T12:58:46","date_gmt":"2026-10-29T16:58:46","guid":{"rendered":"https:\/\/www.myuniversalinsurance.com\/homeowners-quote-application\/"},"modified":"2026-10-29T12:58:59","modified_gmt":"2026-10-29T16:58:59","slug":"home-owner-quotes","status":"publish","type":"page","link":"https:\/\/www.myuniversalinsurance.com\/es\/home-owner-quotes\/","title":{"rendered":"Solicitud de cotizaci\u00f3n de seguro de casa"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"391\" class=\"elementor elementor-391\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-738dbe2 e-flex e-con-boxed uia-pagehero e-con e-parent\" data-id=\"738dbe2\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-dfc9c2a elementor-widget elementor-widget-text-editor\" data-id=\"dfc9c2a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p class=\"uia-crumbs\"><nav aria-label=\"breadcrumbs\" class=\"rank-math-breadcrumb\"><p><span class=\"last\">Home<\/span><\/p><\/nav><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-336347f uia-eyebrow elementor-widget elementor-widget-heading\" data-id=\"336347f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">Full application<\/p>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eb04466 elementor-widget elementor-widget-heading\" data-id=\"eb04466\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Homeowners insurance quote application<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9c26337 elementor-widget elementor-widget-text-editor\" data-id=\"9c26337\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p style=\"color:#E4E9F2\">Give us everything at once and we can shop carriers without calling you back for details. It takes about 10 minutes. Buying a home? Include your closing date and lender, and we&#8217;ll get the binder where it needs to go.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a2a557f e-flex e-con-boxed e-con e-parent\" data-id=\"a2a557f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-e3a791f e-flex e-con-full uia-answer e-con e-child\" data-id=\"e3a791f\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a1af1e7 elementor-widget elementor-widget-heading\" data-id=\"a1af1e7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">Helpful to have handy<\/p>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a234f49 elementor-widget elementor-widget-text-editor\" data-id=\"a234f49\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Your current declarations page, the year the roof and major systems were updated, and any 4-point or wind mitigation reports. Not sure about something? Leave it blank and we&#8217;ll ask. Prefer paper? <a href=\"\/wp-content\/uploads\/2026\/10\/NEW-HOME-QUOTE-FORM.doc\">Download the form<\/a> instead.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d7a831c elementor-widget elementor-widget-shortcode\" data-id=\"d7a831c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class='fluentform ff-default fluentform_wrapper_5 ffs_default_wrap'><form data-form_id=\"5\" id=\"fluentform_5\" class=\"frm-fluent-form fluent_form_5 ff-el-form-top ff_form_instance_5_1 ff-form-loading ff-form-has-steps ffs_default\" data-form_instance=\"ff_form_instance_5_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Homeowners Application<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='391' \/><input type=\"hidden\" id=\"_fluentform_5_fluentformnonce\" name=\"_fluentform_5_fluentformnonce\" value=\"56b77520da\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/es\/wp-json\/wp\/v2\/pages\/391\" \/><div class='ff-step-container' data-name=\"step_start-5_8\" data-disable_auto_focus=\"no\" data-enable_auto_slider=\"no\" data-enable_step_data_persistency=\"no\" data-enable_step_page_resume=\"no\" data-animation_type=\"slide\" data-progress_layout=\"top\" data-progress_indicator=\"progress-bar\" ><div class='ff-step-header ff-step-header--progress'><div class='ff-step-progress-wrap'><div class='ff-el-progress-status' aria-live='polite'><\/div><div class='ff-el-progress'><div role='progressbar' class='ff-el-progress-bar'><span><\/span><\/div><\/div><ul style='display: none' class='ff-el-progress-title'><li>You<\/li><li>The home<\/li><li>Features<\/li><li>History<\/li><li>Mortgage &amp; closing<\/li><li>Updates<\/li><\/ul><\/div><\/div><span class='ff_step_start'><\/span><div class='ff-step-body'><div class=\"fluentform-step active\" data-name=\"step_start-5_8\" data-disable_auto_focus=\"no\" data-enable_auto_slider=\"no\" data-enable_step_data_persistency=\"no\" data-enable_step_page_resume=\"no\" data-animation_type=\"slide\" data-progress_layout=\"top\" data-progress_indicator=\"progress-bar\" ><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_names_first_name_' id='label_ff_5_names_first_name_'>First name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_5_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"First name\" autocomplete=\"given-name\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_names_last_name_' id='label_ff_5_names_last_name_'>Last name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_5_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"Last name\" autocomplete=\"family-name\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_phone' id='label_ff_5_phone'>Best phone number<\/label><\/div><div class='ff-el-input--content'><input type=\"tel\" name=\"phone\" class=\"ff-el-form-control\" placeholder=\"(407) 555-0123\" data-name=\"phone\" id=\"ff_5_phone\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_email' id='label_ff_5_email'>Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_5_email\" class=\"ff-el-form-control\" placeholder=\"you@example.com\" data-name=\"email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_2\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_dob' id='label_ff_5_dob'>Date of birth<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"dob\" data-mask=\"00\/00\/0000\" class=\"ff-el-form-control\" placeholder=\"MM\/DD\/YYYY\" data-name=\"dob\" inputmode=\"numeric\" id=\"ff_5_dob\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_referred_by' id='label_ff_5_referred_by'>Who referred you?<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"referred_by\" class=\"ff-el-form-control\" placeholder=\"Realtor, lender, friend (optional)\" data-name=\"referred_by\" id=\"ff_5_referred_by\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-el-group ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  >Preferred language \/ Idioma<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check- ff_item_selected'><label class='ff-el-form-check-label' for='language_e3c9aab09eb2c95a18fd98b311ead6fc'><input  type=\"radio\" name=\"language\" data-name=\"language\" class=\"ff-el-form-check-input ff-el-form-check-radio\" checked=\"1\" value=\"English\"  id='language_e3c9aab09eb2c95a18fd98b311ead6fc' aria-label='English' aria-invalid='false' aria-required=true> <span>English<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='language_dd40878f860e1db357cedc8ea873c040'><input  type=\"radio\" name=\"language\" data-name=\"language\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Espa\u00f1ol\"  id='language_dd40878f860e1db357cedc8ea873c040' aria-label='Espa\u00f1ol' aria-invalid='false' aria-required=true> <span>Espa\u00f1ol<\/span><\/label><\/div><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Back'>Back<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='Next'>Next<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-5_1\" ><div class=\"ff-name-address-wrapper fluent-address\" data-type=\"address-element\" data-name=\"property_address\" ><div class='ff-el-input--label'><label aria-label=\"Property address\">Property address<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_property_address_address_line_1_' id='label_ff_5_property_address_address_line_1_'>Street address<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"property_address[address_line_1]\" id=\"ff_5_property_address_address_line_1_\" class=\"ff-el-form-control\" placeholder=\"Street address\" data-key_name=\"address_line_1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_property_address_address_line_2_' id='label_ff_5_property_address_address_line_2_'>Apartment, suite or unit<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"property_address[address_line_2]\" id=\"ff_5_property_address_address_line_2_\" class=\"ff-el-form-control\" placeholder=\"Apt, suite or unit (optional)\" data-key_name=\"address_line_2\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_property_address_city_' id='label_ff_5_property_address_city_'>City<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"property_address[city]\" id=\"ff_5_property_address_city_\" class=\"ff-el-form-control\" placeholder=\"City\" data-key_name=\"city\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_property_address_state_' id='label_ff_5_property_address_state_'>State<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"property_address[state]\" value=\"FL\" id=\"ff_5_property_address_state_\" class=\"ff-el-form-control\" placeholder=\"State\" data-key_name=\"state\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_property_address_zip_' id='label_ff_5_property_address_zip_'>ZIP code<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"property_address[zip]\" id=\"ff_5_property_address_zip_\" class=\"ff-el-form-control\" placeholder=\"ZIP code\" data-key_name=\"zip\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  >Is your mailing address the same?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check- ff_item_selected'><label class='ff-el-form-check-label' for='mailing_same_3df6cff3a7536c61e7782453d3065b85'><input  type=\"radio\" name=\"mailing_same\" data-name=\"mailing_same\" class=\"ff-el-form-check-input ff-el-form-check-radio\" checked=\"1\" value=\"Yes\"  id='mailing_same_3df6cff3a7536c61e7782453d3065b85' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='mailing_same_2168c5648e7d7d0d27fbfcdce562a47b'><input  type=\"radio\" name=\"mailing_same\" data-name=\"mailing_same\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"No\"  id='mailing_same_2168c5648e7d7d0d27fbfcdce562a47b' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><div class=\"ff-name-address-wrapper fluent-address has-conditions\" data-type=\"address-element\" data-name=\"mailing_address\" ><div class='ff-el-input--label'><label aria-label=\"Mailing address\">Mailing address<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_mailing_address_address_line_1_' id='label_ff_5_mailing_address_address_line_1_'>Street address<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"mailing_address[address_line_1]\" id=\"ff_5_mailing_address_address_line_1_\" class=\"ff-el-form-control\" placeholder=\"Street address\" data-key_name=\"address_line_1\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_mailing_address_address_line_2_' id='label_ff_5_mailing_address_address_line_2_'>Apartment, suite or unit<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"mailing_address[address_line_2]\" id=\"ff_5_mailing_address_address_line_2_\" class=\"ff-el-form-control\" placeholder=\"Apt, suite or unit (optional)\" data-key_name=\"address_line_2\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_mailing_address_city_' id='label_ff_5_mailing_address_city_'>City<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"mailing_address[city]\" id=\"ff_5_mailing_address_city_\" class=\"ff-el-form-control\" placeholder=\"City\" data-key_name=\"city\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_mailing_address_state_' id='label_ff_5_mailing_address_state_'>State<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"mailing_address[state]\" value=\"FL\" id=\"ff_5_mailing_address_state_\" class=\"ff-el-form-control\" placeholder=\"State\" data-key_name=\"state\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_mailing_address_zip_' id='label_ff_5_mailing_address_zip_'>ZIP code<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"mailing_address[zip]\" id=\"ff_5_mailing_address_zip_\" class=\"ff-el-form-control\" placeholder=\"ZIP code\" data-key_name=\"zip\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_3\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_occupancy' id='label_ff_5_occupancy'>How will the home be used?<\/label><\/div><div class='ff-el-input--content'><select name=\"occupancy\" id=\"ff_5_occupancy\" class=\"ff-el-form-control\" data-name=\"occupancy\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_5_occupancy\"><option value=\"\">Choose one<\/option><option value=\"Primary home\"  >Primary home<\/option><option value=\"Second or seasonal home\"  >Second or seasonal home<\/option><option value=\"Rental (tenant-occupied)\"  >Rental (tenant-occupied)<\/option><option value=\"Investment or vacant\"  >Investment or vacant<\/option><option value=\"New construction (builder&#039;s risk)\"  >New construction (builder's risk)<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_county' id='label_ff_5_county'>County<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"county\" class=\"ff-el-form-control\" placeholder=\"Orange\" data-name=\"county\" id=\"ff_5_county\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-el-group ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  >Are you buying this home?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='new_purchase_b42de735dca739081077830d6eb6667f'><input  type=\"radio\" name=\"new_purchase\" data-name=\"new_purchase\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Yes\"  id='new_purchase_b42de735dca739081077830d6eb6667f' aria-label='Yes' aria-invalid='false' aria-required=true> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='new_purchase_9e55d16e2c8eddaa607464b22516f947'><input  type=\"radio\" name=\"new_purchase\" data-name=\"new_purchase\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"No\"  id='new_purchase_9e55d16e2c8eddaa607464b22516f947' aria-label='No' aria-invalid='false' aria-required=true> <span>No<\/span><\/label><\/div><\/div><\/div><div data-name=\"ff_cn_id_4\"  class='ff-t-container ff-column-container ff_columns_total_2 has-conditions'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_closing_date' id='label_ff_5_closing_date'>Closing date<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Closing date Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='m\/d\/Y' type=\"text\" name=\"closing_date\" id=\"ff_5_closing_date\" class=\"ff-el-form-control ff-el-datepicker\" placeholder=\"MM\/DD\/YYYY\" data-name=\"closing_date\"  aria-invalid='false' aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_purchase_price' id='label_ff_5_purchase_price'>Purchase price<\/label><\/div><div class='ff-el-input--content'><div class=\"ff_input-group\"><div class=\"ff_input-group-prepend\"><span class=\"ff_input-group-text\">$<\/span><\/div><input type=\"number\" name=\"purchase_price\" id=\"ff_5_purchase_price\" class=\"ff-el-form-control\" placeholder=\"Whole dollars, no commas\" data-name=\"purchase_price\" inputmode=\"numeric\" step=\"any\" min=\"0\" aria-valuemin=\"0\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_5\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  >Will it have a homestead exemption?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='homestead_13a4296f70633fcc8b0ba544e33fa5b6'><input  type=\"radio\" name=\"homestead\" data-name=\"homestead\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Yes\"  id='homestead_13a4296f70633fcc8b0ba544e33fa5b6' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='homestead_8151268b7a5af8cf69393c4fc134b6a2'><input  type=\"radio\" name=\"homestead\" data-name=\"homestead\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"No\"  id='homestead_8151268b7a5af8cf69393c4fc134b6a2' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='homestead_1a44baf2038b7cdffe5ab0c567a5872e'><input  type=\"radio\" name=\"homestead\" data-name=\"homestead\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Not sure\"  id='homestead_1a44baf2038b7cdffe5ab0c567a5872e' aria-label='Not sure' aria-invalid='false' aria-required=false> <span>Not sure<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  >Is it in a gated community?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='gated_11c2ca05b5507583870ea8d49af2c092'><input  type=\"radio\" name=\"gated\" data-name=\"gated\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Yes\"  id='gated_11c2ca05b5507583870ea8d49af2c092' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='gated_a3142a6dd6741c3059d9d78b49abd80b'><input  type=\"radio\" name=\"gated\" data-name=\"gated\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"No\"  id='gated_a3142a6dd6741c3059d9d78b49abd80b' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group has-conditions ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  >Is there a 24-hour guard at the gate?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='guard_e5fa3b47c6a4593cffefa275325db392'><input  type=\"radio\" name=\"guard\" data-name=\"guard\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Yes\"  id='guard_e5fa3b47c6a4593cffefa275325db392' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='guard_2390e92d8bd88955da4ee1a1d01f0a80'><input  type=\"radio\" name=\"guard\" data-name=\"guard\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"No\"  id='guard_2390e92d8bd88955da4ee1a1d01f0a80' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Back'>Back<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='Next'>Next<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-5_2\" ><div data-name=\"ff_cn_id_6\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_year_built' id='label_ff_5_year_built'>Year built<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"year_built\" id=\"ff_5_year_built\" class=\"ff-el-form-control\" placeholder=\"Year\" data-name=\"year_built\" inputmode=\"numeric\" step=\"any\" min=\"1850\" aria-valuemin=\"1850\" max=\"2027\" aria-valuemax=\"2027\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_sq_ft' id='label_ff_5_sq_ft'>Living area (square feet)<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"sq_ft\" id=\"ff_5_sq_ft\" class=\"ff-el-form-control\" placeholder=\"1850\" data-name=\"sq_ft\" inputmode=\"numeric\" step=\"any\" min=\"100\" aria-valuemin=\"100\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_7\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_construction' id='label_ff_5_construction'>Construction<\/label><\/div><div class='ff-el-input--content'><select name=\"construction\" id=\"ff_5_construction\" class=\"ff-el-form-control\" data-name=\"construction\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"false\" aria-labelledby=\"label_ff_5_construction\"><option value=\"\">Choose one<\/option><option value=\"Masonry (concrete block \/ CBS)\"  >Masonry (concrete block \/ CBS)<\/option><option value=\"Frame (wood)\"  >Frame (wood)<\/option><option value=\"Not sure\"  >Not sure<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_stories' id='label_ff_5_stories'>Stories<\/label><\/div><div class='ff-el-input--content'><select name=\"stories\" id=\"ff_5_stories\" class=\"ff-el-form-control\" data-name=\"stories\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"false\" aria-labelledby=\"label_ff_5_stories\"><option value=\"\">Choose one<\/option><option value=\"1\"  >1<\/option><option value=\"2\"  >2<\/option><option value=\"3 or more\"  >3 or more<\/option><\/select><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_8\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_roof_type' id='label_ff_5_roof_type'>Roof type<\/label><\/div><div class='ff-el-input--content'><select name=\"roof_type\" id=\"ff_5_roof_type\" class=\"ff-el-form-control\" data-name=\"roof_type\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"false\" aria-labelledby=\"label_ff_5_roof_type\"><option value=\"\">Choose one<\/option><option value=\"Shingle\"  >Shingle<\/option><option value=\"Tile\"  >Tile<\/option><option value=\"Metal\"  >Metal<\/option><option value=\"Flat\"  >Flat<\/option><option value=\"Other\"  >Other<\/option><option value=\"Not sure\"  >Not sure<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_garage' id='label_ff_5_garage'>Garage<\/label><\/div><div class='ff-el-input--content'><select name=\"garage\" id=\"ff_5_garage\" class=\"ff-el-form-control\" data-name=\"garage\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"false\" aria-labelledby=\"label_ff_5_garage\"><option value=\"\">Choose one<\/option><option value=\"None\"  >None<\/option><option value=\"1-car\"  >1-car<\/option><option value=\"2-car\"  >2-car<\/option><option value=\"3-car or larger\"  >3-car or larger<\/option><option value=\"Carport\"  >Carport<\/option><\/select><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_9\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_foundation' id='label_ff_5_foundation'>Foundation<\/label><\/div><div class='ff-el-input--content'><select name=\"foundation\" id=\"ff_5_foundation\" class=\"ff-el-form-control\" data-name=\"foundation\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"false\" aria-labelledby=\"label_ff_5_foundation\"><option value=\"\">Choose one<\/option><option value=\"Slab\"  >Slab<\/option><option value=\"Open crawlspace\"  >Open crawlspace<\/option><option value=\"Enclosed crawlspace\"  >Enclosed crawlspace<\/option><option value=\"Not sure\"  >Not sure<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_alarm' id='label_ff_5_alarm'>Alarm system<\/label><\/div><div class='ff-el-input--content'><select name=\"alarm\" id=\"ff_5_alarm\" class=\"ff-el-form-control\" data-name=\"alarm\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"false\" aria-labelledby=\"label_ff_5_alarm\"><option value=\"\">Choose one<\/option><option value=\"None\"  >None<\/option><option value=\"Local alarm only\"  >Local alarm only<\/option><option value=\"Monitored by an alarm company\"  >Monitored by an alarm company<\/option><\/select><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_10\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  >Fireplace?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='fireplace_850b0f3d135be93a2793cb831a0bb8b0'><input  type=\"radio\" name=\"fireplace\" data-name=\"fireplace\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Yes\"  id='fireplace_850b0f3d135be93a2793cb831a0bb8b0' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='fireplace_4d1fb7bd1d659bc5cf2938bf8867327f'><input  type=\"radio\" name=\"fireplace\" data-name=\"fireplace\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"No\"  id='fireplace_4d1fb7bd1d659bc5cf2938bf8867327f' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  >Porch or lanai?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='porch_c879b7192b9f32d0f55ef542e7559e1a'><input  type=\"radio\" name=\"porch\" data-name=\"porch\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Yes\"  id='porch_c879b7192b9f32d0f55ef542e7559e1a' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='porch_d8d5ee0e5faa805774b32a9fad6ad6de'><input  type=\"radio\" name=\"porch\" data-name=\"porch\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"No\"  id='porch_d8d5ee0e5faa805774b32a9fad6ad6de' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  >Is there a pool?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='pool_a14f49c3ad30adfdb891d5450714e73c'><input  type=\"radio\" name=\"pool\" data-name=\"pool\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Yes\"  id='pool_a14f49c3ad30adfdb891d5450714e73c' aria-label='Yes' aria-invalid='false' aria-required=true> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='pool_574fae673f163529735198af97cebfb7'><input  type=\"radio\" name=\"pool\" data-name=\"pool\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"No\"  id='pool_574fae673f163529735198af97cebfb7' aria-label='No' aria-invalid='false' aria-required=true> <span>No<\/span><\/label><\/div><\/div><\/div><div data-name=\"ff_cn_id_11\"  class='ff-t-container ff-column-container ff_columns_total_2 has-conditions'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  >In-ground or above ground?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='pool_type_5d5c1a749c0b5c6b631f9e21e48bcdf5'><input  type=\"radio\" name=\"pool_type\" data-name=\"pool_type\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"In-ground\"  id='pool_type_5d5c1a749c0b5c6b631f9e21e48bcdf5' aria-label='In-ground' aria-invalid='false' aria-required=false> <span>In-ground<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='pool_type_c56265ab70c7799f8d0ad7e505f0bf99'><input  type=\"radio\" name=\"pool_type\" data-name=\"pool_type\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Above ground\"  id='pool_type_c56265ab70c7799f8d0ad7e505f0bf99' aria-label='Above ground' aria-invalid='false' aria-required=false> <span>Above ground<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  >Screened enclosure?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='pool_screened_cf998c210460c0a2cbbe2b1308f94797'><input  type=\"radio\" name=\"pool_screened\" data-name=\"pool_screened\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Yes\"  id='pool_screened_cf998c210460c0a2cbbe2b1308f94797' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='pool_screened_225e930dfed3877515c8616e71d63ee9'><input  type=\"radio\" name=\"pool_screened\" data-name=\"pool_screened\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"No\"  id='pool_screened_225e930dfed3877515c8616e71d63ee9' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_12\"  class='ff-t-container ff-column-container ff_columns_total_2 has-conditions'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  >Fenced?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='pool_fenced_0d315f874c488810d7e0d297c471c67a'><input  type=\"radio\" name=\"pool_fenced\" data-name=\"pool_fenced\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Yes\"  id='pool_fenced_0d315f874c488810d7e0d297c471c67a' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='pool_fenced_c8f6efa4be36b987b9c2d5e5263abbdb'><input  type=\"radio\" name=\"pool_fenced\" data-name=\"pool_fenced\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"No\"  id='pool_fenced_c8f6efa4be36b987b9c2d5e5263abbdb' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  >Diving board or slide?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='pool_diving_board_c9101ca2fc03b2b9c2fc1819b428d96c'><input  type=\"radio\" name=\"pool_diving_board\" data-name=\"pool_diving_board\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Yes\"  id='pool_diving_board_c9101ca2fc03b2b9c2fc1819b428d96c' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='pool_diving_board_7b8a7463ba3cec78eab5c58d43d82f35'><input  type=\"radio\" name=\"pool_diving_board\" data-name=\"pool_diving_board\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"No\"  id='pool_diving_board_7b8a7463ba3cec78eab5c58d43d82f35' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_13\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  >Trampoline?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='trampoline_c9090214268a9e05a0dccca69237f065'><input  type=\"radio\" name=\"trampoline\" data-name=\"trampoline\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Yes\"  id='trampoline_c9090214268a9e05a0dccca69237f065' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='trampoline_4c057c10fb0ec90c4cfe4e0d7b1dadcc'><input  type=\"radio\" name=\"trampoline\" data-name=\"trampoline\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"No\"  id='trampoline_4c057c10fb0ec90c4cfe4e0d7b1dadcc' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  >Any dogs or other pets?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='pets_5638ce5e5e45e8b7a9065d061bad6da8'><input  type=\"radio\" name=\"pets\" data-name=\"pets\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Yes\"  id='pets_5638ce5e5e45e8b7a9065d061bad6da8' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='pets_d81bfdc9b0b76a9f47fb88e56b9d0b53'><input  type=\"radio\" name=\"pets\" data-name=\"pets\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"No\"  id='pets_d81bfdc9b0b76a9f47fb88e56b9d0b53' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_pet_details' id='label_ff_5_pet_details'>How many, and the breed and approximate weight of each<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_5_pet_details\" name=\"pet_details\" id=\"ff_5_pet_details\" class=\"ff-el-form-control\" placeholder=\"Example: 2 dogs, Labrador 70 lbs and Beagle 25 lbs\" rows=\"3\" cols=\"2\" data-name=\"pet_details\" ><\/textarea><\/div><\/div><div class='ff-el-group has-conditions ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  >Has any of your pets ever bitten someone?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='pet_bite_73870850a438d668aa67e5696da500c8'><input  type=\"radio\" name=\"pet_bite\" data-name=\"pet_bite\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Yes\"  id='pet_bite_73870850a438d668aa67e5696da500c8' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='pet_bite_a8b9656b5f935dfeed0d6133acbf0a24'><input  type=\"radio\" name=\"pet_bite\" data-name=\"pet_bite\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"No\"  id='pet_bite_a8b9656b5f935dfeed0d6133acbf0a24' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Back'>Back<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='Next'>Next<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-5_3\" ><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-5_4\" ><p>Every carrier asks these questions. A yes doesn't rule you out. It helps us send your application to the right companies.<\/p><\/div><div data-name=\"ff_cn_id_14\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_current_carrier' id='label_ff_5_current_carrier'>Current home insurance company<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"current_carrier\" class=\"ff-el-form-control\" placeholder=\"Leave blank if none\" data-name=\"current_carrier\" id=\"ff_5_current_carrier\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_current_expiration' id='label_ff_5_current_expiration'>Current policy expires<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Current policy expires Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='m\/d\/Y' type=\"text\" name=\"current_expiration\" id=\"ff_5_current_expiration\" class=\"ff-el-form-control ff-el-datepicker\" placeholder=\"MM\/DD\/YYYY\" data-name=\"current_expiration\"  aria-invalid='false' aria-required=false><\/div><\/div><\/div><\/div><div class='ff-el-group ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  >Any homeowners claims in the past 5 years?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='claims_7ef0aa92923ef3d9f26012667b89ef18'><input  type=\"radio\" name=\"claims\" data-name=\"claims\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Yes\"  id='claims_7ef0aa92923ef3d9f26012667b89ef18' aria-label='Yes' aria-invalid='false' aria-required=true> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='claims_97d6d5c021d38fa7b681579d9f570e43'><input  type=\"radio\" name=\"claims\" data-name=\"claims\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"No\"  id='claims_97d6d5c021d38fa7b681579d9f570e43' aria-label='No' aria-invalid='false' aria-required=true> <span>No<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_claims_details' id='label_ff_5_claims_details'>For each claim: when it happened, what happened and how much was paid<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_5_claims_details\" name=\"claims_details\" id=\"ff_5_claims_details\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"claims_details\" ><\/textarea><\/div><\/div><div class='ff-el-group ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  >Has anyone in your household filed for bankruptcy in the past 5 years?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='bankruptcy_1a6675ba49d4d7ace5a12fe8a877e2a8'><input  type=\"radio\" name=\"bankruptcy\" data-name=\"bankruptcy\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Yes\"  id='bankruptcy_1a6675ba49d4d7ace5a12fe8a877e2a8' aria-label='Yes' aria-invalid='false' aria-required=true> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='bankruptcy_1ebcd0887c056f90a474180defdd7faa'><input  type=\"radio\" name=\"bankruptcy\" data-name=\"bankruptcy\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"No\"  id='bankruptcy_1ebcd0887c056f90a474180defdd7faa' aria-label='No' aria-invalid='false' aria-required=true> <span>No<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_bankruptcy_date' id='label_ff_5_bankruptcy_date'>When was it filed?<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"bankruptcy_date\" class=\"ff-el-form-control\" placeholder=\"Month and year\" data-name=\"bankruptcy_date\" id=\"ff_5_bankruptcy_date\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  >Is any mortgage or lien on property you own behind on payments or in foreclosure?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='foreclosure_c3c141bc102785a3743a8f3c32b1aa83'><input  type=\"radio\" name=\"foreclosure\" data-name=\"foreclosure\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Yes\"  id='foreclosure_c3c141bc102785a3743a8f3c32b1aa83' aria-label='Yes' aria-invalid='false' aria-required=true> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='foreclosure_216c33892aea653f297bf96abff8f8fd'><input  type=\"radio\" name=\"foreclosure\" data-name=\"foreclosure\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"No\"  id='foreclosure_216c33892aea653f297bf96abff8f8fd' aria-label='No' aria-invalid='false' aria-required=true> <span>No<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  >Has anyone in your household had property or a vehicle repossessed, or a lien placed against them?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='repossession_48307660e03b635de607226edb72bc8a'><input  type=\"radio\" name=\"repossession\" data-name=\"repossession\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Yes\"  id='repossession_48307660e03b635de607226edb72bc8a' aria-label='Yes' aria-invalid='false' aria-required=true> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='repossession_dabe7c57117a4fafd16040174bc56c2d'><input  type=\"radio\" name=\"repossession\" data-name=\"repossession\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"No\"  id='repossession_dabe7c57117a4fafd16040174bc56c2d' aria-label='No' aria-invalid='false' aria-required=true> <span>No<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  >Would you like us to quote your cars too?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='auto_quote_5df720f3cce9c761f0fb9fb050e1ca6b'><input  type=\"radio\" name=\"auto_quote\" data-name=\"auto_quote\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Yes\"  id='auto_quote_5df720f3cce9c761f0fb9fb050e1ca6b' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='auto_quote_98e438007f36a43477968fc601149f71'><input  type=\"radio\" name=\"auto_quote\" data-name=\"auto_quote\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"No\"  id='auto_quote_98e438007f36a43477968fc601149f71' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><div data-name=\"ff_cn_id_15\"  class='ff-t-container ff-column-container ff_columns_total_2 has-conditions'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_auto_carrier' id='label_ff_5_auto_carrier'>Current auto insurance company<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"auto_carrier\" class=\"ff-el-form-control\" data-name=\"auto_carrier\" id=\"ff_5_auto_carrier\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_auto_renewal' id='label_ff_5_auto_renewal'>Auto policy renews on<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Auto policy renews on Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='m\/d\/Y' type=\"text\" name=\"auto_renewal\" id=\"ff_5_auto_renewal\" class=\"ff-el-form-control ff-el-datepicker\" placeholder=\"MM\/DD\/YYYY\" data-name=\"auto_renewal\"  aria-invalid='false' aria-required=false><\/div><\/div><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Back'>Back<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='Next'>Next<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-5_5\" ><div class='ff-el-group ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  >Will there be a mortgage on this home?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='has_mortgage_d31a09566a76b3b9c764f93983fe8415'><input  type=\"radio\" name=\"has_mortgage\" data-name=\"has_mortgage\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Yes\"  id='has_mortgage_d31a09566a76b3b9c764f93983fe8415' aria-label='Yes' aria-invalid='false' aria-required=true> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='has_mortgage_2d4445275a4a5f5f7861eff91168fe2e'><input  type=\"radio\" name=\"has_mortgage\" data-name=\"has_mortgage\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"No\"  id='has_mortgage_2d4445275a4a5f5f7861eff91168fe2e' aria-label='No' aria-invalid='false' aria-required=true> <span>No<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='has_mortgage_944de2417a0a4031ba3285ccd4946231'><input  type=\"radio\" name=\"has_mortgage\" data-name=\"has_mortgage\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Not sure yet\"  id='has_mortgage_944de2417a0a4031ba3285ccd4946231' aria-label='Not sure yet' aria-invalid='false' aria-required=true> <span>Not sure yet<\/span><\/label><\/div><\/div><\/div><div data-name=\"ff_cn_id_16\"  class='ff-t-container ff-column-container ff_columns_total_2 has-conditions'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_lender' id='label_ff_5_lender'>Mortgage company (first mortgage)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"lender\" class=\"ff-el-form-control\" data-name=\"lender\" id=\"ff_5_lender\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_loan_number' id='label_ff_5_loan_number'>Loan number<\/label><div class=\"ff-el-tooltip\" data-content=\"If you have it. We need it for the mortgagee clause.\"><svg width=\"16\" height=\"16\" viewbox=\"0 0 25 25\"><path d=\"m329 393l0-46c0-2-1-4-2-6-2-2-4-3-7-3l-27 0 0-146c0-3-1-5-3-7-2-1-4-2-7-2l-91 0c-3 0-5 1-7 2-1 2-2 4-2 7l0 46c0 2 1 5 2 6 2 2 4 3 7 3l27 0 0 91-27 0c-3 0-5 1-7 3-1 2-2 4-2 6l0 46c0 3 1 5 2 7 2 1 4 2 7 2l128 0c3 0 5-1 7-2 1-2 2-4 2-7z m-36-256l0-46c0-2-1-4-3-6-2-2-4-3-7-3l-54 0c-3 0-5 1-7 3-2 2-3 4-3 6l0 46c0 3 1 5 3 7 2 1 4 2 7 2l54 0c3 0 5-1 7-2 2-2 3-4 3-7z m182 119c0 40-9 77-29 110-20 34-46 60-80 80-33 20-70 29-110 29-40 0-77-9-110-29-34-20-60-46-80-80-20-33-29-70-29-110 0-40 9-77 29-110 20-34 46-60 80-80 33-20 70-29 110-29 40 0 77 9 110 29 34 20 60 46 80 80 20 33 29 70 29 110z\" transform=\"scale(0.046875 0.046875)\"><\/path><\/svg><\/div><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"loan_number\" class=\"ff-el-form-control\" data-name=\"loan_number\" id=\"ff_5_loan_number\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-el-group has-conditions ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  >Is there a second mortgage or home equity line?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='second_mortgage_0da5b8a150aed6d4df1d13549ead977d'><input  type=\"radio\" name=\"second_mortgage\" data-name=\"second_mortgage\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Yes\"  id='second_mortgage_0da5b8a150aed6d4df1d13549ead977d' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='second_mortgage_710c3b4dcb412a17c0605422228b798f'><input  type=\"radio\" name=\"second_mortgage\" data-name=\"second_mortgage\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"No\"  id='second_mortgage_710c3b4dcb412a17c0605422228b798f' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><div data-name=\"ff_cn_id_17\"  class='ff-t-container ff-column-container ff_columns_total_2 has-conditions'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_lender_2' id='label_ff_5_lender_2'>Second mortgage company<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"lender_2\" class=\"ff-el-form-control\" data-name=\"lender_2\" id=\"ff_5_lender_2\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_loan_number_2' id='label_ff_5_loan_number_2'>Second loan number<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"loan_number_2\" class=\"ff-el-form-control\" data-name=\"loan_number_2\" id=\"ff_5_loan_number_2\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_18\"  class='ff-t-container ff-column-container ff_columns_total_2 has-conditions'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_loan_officer' id='label_ff_5_loan_officer'>Loan officer or mortgage broker<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"loan_officer\" class=\"ff-el-form-control\" data-name=\"loan_officer\" id=\"ff_5_loan_officer\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_loan_officer_phone' id='label_ff_5_loan_officer_phone'>Their phone<\/label><\/div><div class='ff-el-input--content'><input type=\"tel\" name=\"loan_officer_phone\" class=\"ff-el-form-control\" data-name=\"loan_officer_phone\" id=\"ff_5_loan_officer_phone\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-el-group has-conditions ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  >Will the insurance be paid through escrow?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='escrow_d7c28137a7433d1ebb27a1b062cb989c'><input  type=\"radio\" name=\"escrow\" data-name=\"escrow\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Yes\"  id='escrow_d7c28137a7433d1ebb27a1b062cb989c' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='escrow_1f30bead8094b43b78db2aa708ba422e'><input  type=\"radio\" name=\"escrow\" data-name=\"escrow\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"No\"  id='escrow_1f30bead8094b43b78db2aa708ba422e' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='escrow_ff71845b4ea8d39d61fa030352604509'><input  type=\"radio\" name=\"escrow\" data-name=\"escrow\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Not sure\"  id='escrow_ff71845b4ea8d39d61fa030352604509' aria-label='Not sure' aria-invalid='false' aria-required=false> <span>Not sure<\/span><\/label><\/div><\/div><\/div><div data-name=\"ff_cn_id_19\"  class='ff-t-container ff-column-container ff_columns_total_2 has-conditions'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_title_company' id='label_ff_5_title_company'>Title company<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"title_company\" class=\"ff-el-form-control\" data-name=\"title_company\" id=\"ff_5_title_company\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_title_company_phone' id='label_ff_5_title_company_phone'>Title company phone<\/label><\/div><div class='ff-el-input--content'><input type=\"tel\" name=\"title_company_phone\" class=\"ff-el-form-control\" data-name=\"title_company_phone\" id=\"ff_5_title_company_phone\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Back'>Back<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='Next'>Next<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-5_6\" ><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-5_7\" ><p>Florida carriers look closely at the age of the roof and the major systems. Enter the year each was last fully replaced or updated. Leave it blank if it's original or you're not sure.<\/p><\/div><div data-name=\"ff_cn_id_20\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_roof_year' id='label_ff_5_roof_year'>Roof<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"roof_year\" id=\"ff_5_roof_year\" class=\"ff-el-form-control\" placeholder=\"Year\" data-name=\"roof_year\" inputmode=\"numeric\" step=\"any\" min=\"1850\" aria-valuemin=\"1850\" max=\"2027\" aria-valuemax=\"2027\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_electrical_year' id='label_ff_5_electrical_year'>Electrical<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"electrical_year\" id=\"ff_5_electrical_year\" class=\"ff-el-form-control\" placeholder=\"Year\" data-name=\"electrical_year\" inputmode=\"numeric\" step=\"any\" min=\"1850\" aria-valuemin=\"1850\" max=\"2027\" aria-valuemax=\"2027\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_21\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_plumbing_year' id='label_ff_5_plumbing_year'>Plumbing<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"plumbing_year\" id=\"ff_5_plumbing_year\" class=\"ff-el-form-control\" placeholder=\"Year\" data-name=\"plumbing_year\" inputmode=\"numeric\" step=\"any\" min=\"1850\" aria-valuemin=\"1850\" max=\"2027\" aria-valuemax=\"2027\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_hvac_year' id='label_ff_5_hvac_year'>Heating and air (HVAC)<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"hvac_year\" id=\"ff_5_hvac_year\" class=\"ff-el-form-control\" placeholder=\"Year\" data-name=\"hvac_year\" inputmode=\"numeric\" step=\"any\" min=\"1850\" aria-valuemin=\"1850\" max=\"2027\" aria-valuemax=\"2027\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_22\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_water_heater_year' id='label_ff_5_water_heater_year'>Water heater<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"water_heater_year\" id=\"ff_5_water_heater_year\" class=\"ff-el-form-control\" placeholder=\"Year\" data-name=\"water_heater_year\" inputmode=\"numeric\" step=\"any\" min=\"1850\" aria-valuemin=\"1850\" max=\"2027\" aria-valuemax=\"2027\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_comments' id='label_ff_5_comments'>Anything else we should know?<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_5_comments\" name=\"comments\" id=\"ff_5_comments\" class=\"ff-el-form-control\" rows=\"4\" cols=\"2\" data-name=\"comments\" ><\/textarea><\/div><\/div><input type=\"hidden\" name=\"source_page\" value=\"Homeowners Quote Application\" data-name=\"source_page\" ><div class='ff-el-group'><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='contact_consent_4b328fa262fa16bb49d7cf1045ed532f'><input  type=\"checkbox\" name=\"contact_consent[]\" data-name=\"contact_consent\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"I agree that Universal Insurance Agency may contact me by phone, text or email about my request. Message and data rates may apply.\"  id='contact_consent_4b328fa262fa16bb49d7cf1045ed532f' aria-label='I agree that Universal Insurance Agency may contact me by phone, text or email about my request. Message and data rates may apply.' aria-invalid='false' aria-required=true> <span>I agree that Universal Insurance Agency may contact me by phone, text or email about my request. Message and data rates may apply.<\/span><\/label><\/div><\/div><\/div>        <div class=\"ff-step-t-container ff-inner_submit_container ff-column-container ff_columns_total_2\">\n            <div class=\"ff-t-cell ff-t-column-1\"><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Back'>Back<\/button><\/div><\/div>\n            <div class=\"ff-t-cell ff-t-column-2\">\n                <div class='ff-form-inline-style' hidden><style>form.fluent_form_5 .ff-btn-submit:not(.ff_btn_no_style) { background-color: #102484; color: #ffffff; }<\/style><\/div><div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-lg ff_btn_style\"  aria-label=\"Send my application\">Send my application<\/button><\/div>            <\/div>\n        <\/div>\n        <\/div><\/div><\/div>\n        <\/fieldset><\/form><div id='fluentform_5_errors' class='ff-errors-in-stack ff_form_instance_5_1 ff-form-loading_errors ff_form_instance_5_1_errors'><\/div><\/div>            <script type=\"text\/javascript\">\n                window.fluent_form_ff_form_instance_5_1 = {\"id\":\"5\",\"ajaxUrl\":\"https:\\\/\\\/www.myuniversalinsurance.com\\\/wp-admin\\\/admin-ajax.php\",\"settings\":{\"layout\":{\"labelPlacement\":\"top\",\"asteriskPlacement\":\"asterisk-right\",\"helpMessagePlacement\":\"with_label\",\"errorMessagePlacement\":\"inline\",\"cssClassName\":\"\"},\"restrictions\":{\"denyEmptySubmission\":{\"enabled\":false}}},\"form_instance\":\"ff_form_instance_5_1\",\"form_id_selector\":\"fluentform_5\",\"rules\":{\"names[first_name]\":{\"required\":{\"value\":true,\"message\":\"Please enter your first name\"}},\"names[middle_name]\":{\"required\":{\"value\":false,\"message\":\"\"}},\"names[last_name]\":{\"required\":{\"value\":true,\"message\":\"Please enter your last name\"}},\"phone\":{\"required\":{\"value\":true,\"message\":\"Please enter a phone number\"}},\"email\":{\"required\":{\"value\":true,\"message\":\"Please enter an email\"},\"email\":{\"value\":true,\"message\":\"Please enter a valid email address\"}},\"dob\":{\"required\":{\"value\":false,\"message\":\"\"}},\"referred_by\":{\"required\":{\"value\":false,\"message\":\"\"}},\"language\":{\"required\":{\"value\":true,\"message\":\"Please choose one\"}},\"property_address[address_line_1]\":{\"required\":{\"value\":true,\"message\":\"Please enter the street address\"}},\"property_address[address_line_2]\":{\"required\":{\"value\":false,\"message\":\"\"}},\"property_address[city]\":{\"required\":{\"value\":true,\"message\":\"Please enter the city\"}},\"property_address[state]\":{\"required\":{\"value\":false,\"message\":\"\"}},\"property_address[zip]\":{\"required\":{\"value\":true,\"message\":\"Please enter the ZIP code\"}},\"property_address[country]\":{\"required\":{\"value\":false,\"message\":\"\"}},\"mailing_same\":{\"required\":{\"value\":false,\"message\":\"\"}},\"mailing_address[address_line_1]\":{\"required\":{\"value\":false,\"message\":\"\"}},\"mailing_address[address_line_2]\":{\"required\":{\"value\":false,\"message\":\"\"}},\"mailing_address[city]\":{\"required\":{\"value\":false,\"message\":\"\"}},\"mailing_address[state]\":{\"required\":{\"value\":false,\"message\":\"\"}},\"mailing_address[zip]\":{\"required\":{\"value\":false,\"message\":\"\"}},\"mailing_address[country]\":{\"required\":{\"value\":false,\"message\":\"\"}},\"occupancy\":{\"required\":{\"value\":true,\"message\":\"Please choose one\"}},\"county\":{\"required\":{\"value\":false,\"message\":\"\"}},\"new_purchase\":{\"required\":{\"value\":true,\"message\":\"Please choose one\"}},\"closing_date\":{\"required\":{\"value\":false,\"message\":\"\"}},\"purchase_price\":{\"required\":{\"value\":false,\"message\":\"\"},\"numeric\":{\"value\":true,\"message\":\"Please enter numbers only\"},\"min\":{\"value\":\"0\",\"message\":\"That number looks too low\"},\"max\":{\"value\":\"\",\"message\":\"That number looks too high\"},\"digits\":{\"value\":\"\",\"message\":\"\"}},\"homestead\":{\"required\":{\"value\":false,\"message\":\"\"}},\"gated\":{\"required\":{\"value\":false,\"message\":\"\"}},\"guard\":{\"required\":{\"value\":false,\"message\":\"\"}},\"year_built\":{\"required\":{\"value\":false,\"message\":\"\"},\"numeric\":{\"value\":true,\"message\":\"Please enter numbers only\"},\"min\":{\"value\":\"1850\",\"message\":\"Please enter a four-digit year\"},\"max\":{\"value\":\"2027\",\"message\":\"Please enter a four-digit year\"},\"digits\":{\"value\":\"\",\"message\":\"\"}},\"sq_ft\":{\"required\":{\"value\":false,\"message\":\"\"},\"numeric\":{\"value\":true,\"message\":\"Please enter numbers only\"},\"min\":{\"value\":\"100\",\"message\":\"That number looks too low\"},\"max\":{\"value\":\"\",\"message\":\"That number looks too high\"},\"digits\":{\"value\":\"\",\"message\":\"\"}},\"construction\":{\"required\":{\"value\":false,\"message\":\"\"}},\"stories\":{\"required\":{\"value\":false,\"message\":\"\"}},\"roof_type\":{\"required\":{\"value\":false,\"message\":\"\"}},\"garage\":{\"required\":{\"value\":false,\"message\":\"\"}},\"foundation\":{\"required\":{\"value\":false,\"message\":\"\"}},\"alarm\":{\"required\":{\"value\":false,\"message\":\"\"}},\"fireplace\":{\"required\":{\"value\":false,\"message\":\"\"}},\"porch\":{\"required\":{\"value\":false,\"message\":\"\"}},\"pool\":{\"required\":{\"value\":true,\"message\":\"Please choose one\"}},\"pool_type\":{\"required\":{\"value\":false,\"message\":\"\"}},\"pool_screened\":{\"required\":{\"value\":false,\"message\":\"\"}},\"pool_fenced\":{\"required\":{\"value\":false,\"message\":\"\"}},\"pool_diving_board\":{\"required\":{\"value\":false,\"message\":\"\"}},\"trampoline\":{\"required\":{\"value\":false,\"message\":\"\"}},\"pets\":{\"required\":{\"value\":false,\"message\":\"\"}},\"pet_details\":{\"required\":{\"value\":false,\"message\":\"\"}},\"pet_bite\":{\"required\":{\"value\":false,\"message\":\"\"}},\"current_carrier\":{\"required\":{\"value\":false,\"message\":\"\"}},\"current_expiration\":{\"required\":{\"value\":false,\"message\":\"\"}},\"claims\":{\"required\":{\"value\":true,\"message\":\"Please choose one\"}},\"claims_details\":{\"required\":{\"value\":false,\"message\":\"\"}},\"bankruptcy\":{\"required\":{\"value\":true,\"message\":\"Please choose one\"}},\"bankruptcy_date\":{\"required\":{\"value\":false,\"message\":\"\"}},\"foreclosure\":{\"required\":{\"value\":true,\"message\":\"Please choose one\"}},\"repossession\":{\"required\":{\"value\":true,\"message\":\"Please choose one\"}},\"auto_quote\":{\"required\":{\"value\":false,\"message\":\"\"}},\"auto_carrier\":{\"required\":{\"value\":false,\"message\":\"\"}},\"auto_renewal\":{\"required\":{\"value\":false,\"message\":\"\"}},\"has_mortgage\":{\"required\":{\"value\":true,\"message\":\"Please choose one\"}},\"lender\":{\"required\":{\"value\":false,\"message\":\"\"}},\"loan_number\":{\"required\":{\"value\":false,\"message\":\"\"}},\"second_mortgage\":{\"required\":{\"value\":false,\"message\":\"\"}},\"lender_2\":{\"required\":{\"value\":false,\"message\":\"\"}},\"loan_number_2\":{\"required\":{\"value\":false,\"message\":\"\"}},\"loan_officer\":{\"required\":{\"value\":false,\"message\":\"\"}},\"loan_officer_phone\":{\"required\":{\"value\":false,\"message\":\"\"}},\"escrow\":{\"required\":{\"value\":false,\"message\":\"\"}},\"title_company\":{\"required\":{\"value\":false,\"message\":\"\"}},\"title_company_phone\":{\"required\":{\"value\":false,\"message\":\"\"}},\"roof_year\":{\"required\":{\"value\":false,\"message\":\"\"},\"numeric\":{\"value\":true,\"message\":\"Please enter numbers only\"},\"min\":{\"value\":\"1850\",\"message\":\"Please enter a four-digit year\"},\"max\":{\"value\":\"2027\",\"message\":\"Please enter a four-digit year\"},\"digits\":{\"value\":\"\",\"message\":\"\"}},\"electrical_year\":{\"required\":{\"value\":false,\"message\":\"\"},\"numeric\":{\"value\":true,\"message\":\"Please enter numbers only\"},\"min\":{\"value\":\"1850\",\"message\":\"Please enter a four-digit year\"},\"max\":{\"value\":\"2027\",\"message\":\"Please enter a four-digit year\"},\"digits\":{\"value\":\"\",\"message\":\"\"}},\"plumbing_year\":{\"required\":{\"value\":false,\"message\":\"\"},\"numeric\":{\"value\":true,\"message\":\"Please enter numbers only\"},\"min\":{\"value\":\"1850\",\"message\":\"Please enter a four-digit year\"},\"max\":{\"value\":\"2027\",\"message\":\"Please enter a four-digit year\"},\"digits\":{\"value\":\"\",\"message\":\"\"}},\"hvac_year\":{\"required\":{\"value\":false,\"message\":\"\"},\"numeric\":{\"value\":true,\"message\":\"Please enter numbers only\"},\"min\":{\"value\":\"1850\",\"message\":\"Please enter a four-digit year\"},\"max\":{\"value\":\"2027\",\"message\":\"Please enter a four-digit year\"},\"digits\":{\"value\":\"\",\"message\":\"\"}},\"water_heater_year\":{\"required\":{\"value\":false,\"message\":\"\"},\"numeric\":{\"value\":true,\"message\":\"Please enter numbers only\"},\"min\":{\"value\":\"1850\",\"message\":\"Please enter a four-digit year\"},\"max\":{\"value\":\"2027\",\"message\":\"Please enter a four-digit year\"},\"digits\":{\"value\":\"\",\"message\":\"\"}},\"comments\":{\"required\":{\"value\":false,\"message\":\"\"}},\"contact_consent\":{\"required\":{\"value\":true,\"message\":\"Please check this 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