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ManxCover Landlords Insurance
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This form is for a company,
if you are acting as an individual
please use our standard form.
Please enter the company details
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Name
Effective Date of Birth
Used for ratings that require a policyholder age
Are any of the Directors considered to be a Politically Exposed Person?
A "PEP" is someone who has a
prominent
position in life which gives them the
power to make or influence major decisions
ie an MHK or a Chief Executive of a large company.
Not yet known
Yes
No
Details
Company Structure
Not yet known
Charity
Corporation
LLP - Limited Liability Partnership
Ltd - Private Limited Company
Not specified
PLC - Public Limited Company
Sole Trader
Registration Number
Address
Telephone Number
Email Address
Additional policyholder data
No items have been added
Please enter the date you'd like the policy to start from in dd/mm/yyyy format
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Start Date
Please enter the date you'd like the policy to start from in dd/mm/yyyy format
Main Policyholder
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Ever been convicted (or charged but not yet tried) of any criminal offence, or received a police caution?
Not yet known
Yes
No
Conviction details
Been refused insurance or had special terms or conditions applied by an insurer?
Not yet known
Yes
No
Insurance refusal details
Have you or any member of your family living with you had any insurer decline, cancel or declare void insurance or impose special terms?
Not yet known
Yes
No
Details
Properties
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