Home Form
What year was your home built?
What is the square footage of your home?
sqft.
Do you own or rent your home?
What are the exterior walls constructed from?
What type of foundation do you?
Do you have any detached structures(barns, sheds, gazebos, pools)?
How many bathrooms?
How many stories?
Do you have any fire places?
Do you need water back up insurance?
Do you need flood insurance?
Do you have a security system?
Do you have a dog?
What is the value of your home?
Rate the quality and condition (interior and exterior).
Do you have jewerly, collectibles or guns that need to be covered? (or anything of high monetary value)
Yes
Do you currently have homeowners insurance?
How many claims have you had in the last 5 years?
What is your current monthly premium?
What is your target monthly premium?
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