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Zip Code

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Great! What type of insurance are you looking for?

Homeowners - I own and need content coverage
Condo - I own and need content coverage
Townhome - I own and need content coverage
Landlord - I own but renting to another party
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Approximately what year was the property built?

2010-2024
2000-2009
1990-1999
Before 1990
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What type of property is it?

Single Family Home
Apartment
Duplex
Condominium
Townhome
Manufactured/Mobile Home
Other
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What type of construction is the property?

Mostly Brick
Mostly Wood Frame
Stucco
Unsure
Other
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What type of roof?

Asphalt Shingle
Wood Shingle
Tile
Unsure
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How many stories?

1 Story
2 Stories
3 Stories
4 or More Stories
Bi-level
Tri-level
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How many bedrooms?

1
2
3
4
5
6+
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How many bathrooms?

1
1.5
2
2.5
3
3.5
4+
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What type of foundation?

Basement Fully Finished
Basement Half Finished
Basement Unfinished
Crawlspace
Slab
Unsure
Other
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Approximately how many square feet?

["Less Than 500 SF","501-750 SF","751-1,000 SF","1,001-1,250 SF","1,251-1,500 SF","1,750-2,000 SF","2,001-2,250 SF","2,251-2,500 SF","2,750-3,000 SF","3,001-3,250 SF","3,251-3,500 SF","3,750-4,000 SF","4,001-4,250 SF","4,251-4,500 SF","4,750-5,000 SF","5,001-5,250 SF","5,251-5,500 SF","5,750-6,000 SF","6,001-6,250 SF","6,251-6,500 SF","6,750-7,000 SF","7,001-7,250 SF","7,251-7,500 SF","7,750-8,000 SF","8,001-8,250 SF","8,251-8,500 SF","8,750-9,000 SF","9,001-9,250 SF","9,251-9,500 SF","9,750-10,000 SF"]
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"751-1,000 SF"
  • Any
  • 10k+
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What is the primary heating system?

Gas (forced air)
Electric
Hot Water/Steam Radiate
Oil/Coal/Kerosene
Propane
Stove
Unsure
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Are there any potential discounts?

(check any that apply)
None
Deadbolts
Smoke Alarms
Fire Extinguishers
Nearby Fire Hydrant
Manned Fire Station within 5 Miles
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What type of fire alarm?

None
Monitored
Unmonitored
Unsure
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What type security system?

None
Monitored
Unmonitored
Unsure
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What is the municipal location?

Inside City Limits
Outside City Limits
Unsure
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Are there any add-ons or improvements?

(check any that apply)
Add Ons
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Are there any past claims?

(check any that apply)
None
Weather
Theft
Vandalism
Water
Fire
Other
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What kind of liability protection are you looking for?

$100,000
$300,000 (most common)
$500,000
$1,000,000 (umbrella liability)
$2,000,000 (umbrella liability)
Unsure
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What kind of deductible are you looking for?

1 Percent
2 Percent
$100
$250
$500
1 Percent (most common)
$2,500
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Home address:

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City:

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What is your full name?

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What is your email address?

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What is your phone number?

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