contact_mrh-English - PROXIDEA CONSEIL

Last name and name :

Date of Birth

Phone :

Email :

Your address in France :

Your adress abroad :

House or apartment

Owner or tenant

Number of rooms **

Type

Main or secondary residence

fire alarm

Period of uninhabiting

If rental, furnished

number of levels :

If apartment, floor

Year of construction

Roof

Veranda :

Surface of veranda (m²) :

Chimney

solar systems

If solar systems

Cellar :

Total surface (m²)

Pool

Outdoor facilities

Household (value)

Outbuildings

Outbuildings (m²)

Value of the pool

Value of outdoor facilities

Valuables

Further option

new for old

content of freezer

outdoor facilities

Pool

** More 30 m² 1 room applies to 2, more 60 m² to 3, etc. please state the surface area per room over 30 m²