Texas Home Owner Insurance Quote
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Personal Information

*

Required Field

Your Name:

*

 Type if Known   Recommend Coverage HO1 Basic HO2 Extended HO3 Broad All Risk Fire Pollicy Rental Dwelling Vacant Property

Property Address:

*

City:

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     State: AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VI VA WA WV WI WY

Zip Code:

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County:

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Social Security Number

*

Not Required, But may get you a lower rate

HO1 and Dp1 only issued without SSN

Date of Birth:

*

Email:

*

Home Phone:

*

Cell or alt.Phone:

Dwelling Information

Year Home was Built: or Approx

*

     * Purchase Date

Home Usage:

*

Single Family Dwelling Town House Multi Family Condo Unit       My Primary HomeMy Second Home Rented to others Vacation Home Vacant Home

Approx Sq Ft.

Number of Stories:

1 Story 2 Story 3 Story 4 Story

Number of units:

*

1 Family Duplex Tri Plex

Type of Construction

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Brick Wood Steel Stucco Brick Veneer Aluminum Siding Stone Block Hollow Tile Abestos Siding Other    Other

Type of Roof:

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Composition Wood Shingles Metal Roof Aluminum Shingle Tar and Gravel Terra Cotta Slate Rubber roof  Other

Is there A Pool ?:

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Yes No

If Yes, Is it Fenced or Gated Yes No

Is the Dwelling within 500 ft of a lake, pond or large body of water?

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Yes No

Nearest Fire Station:

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  Select Miles 1 2 3 4 5 6 Over 6 Miles     * Distance to fire hydrant 0 - 500 ft 501 - 1000 more than 1000 None

Prior Loss Claims? :

*

Protective Devices?

*

None Burglar / Fire Monitored Alarm Burglar Monitored Alarm Fire Monitored Alarm Burglar Local Alarm Fire Local Alarm Burglar / Fire Local Alarm

Home Updates?

*

Enter date or year of most recent updates if Applicable - Approximate if Unknown

Prior Coverage

*

  Good Credit Fair Credit Poor Credit Bad Credit

(Some Carriers use credit history to quote)

( Bad Credit is OK, We have programs for all)

*

*

*

*

Coverage Requested

Property Coverage.

*

Value of your property

$  

Unscheduled Contents

Default is 25 K Non Luxury items

$  

Liability Coverage.

*

   None $25,000 $100,000 $200,000 $300,000 $500,000 $1,000,000

Desired Deductible:

 * 1 % 2 %

Desired Coverage Valuation Method

*

Hurricane Coverage Needed?

  Yes No

Comments / Remarks (Describe any additional information you feel may be helpful in determining your quote).

My preferred Contact :

* Email Call by Phone

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