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What can we help you with:
Home Owner Condo Renter

For Home Owners Insurance the following information will help us prepare your estimate
Age Of the Home (Year)	Total Square Footage	Purchase Price of Home Date Of Purchase
Style Condo Townhouse Single Family Two Family Other	Construction type Wood Frame Brick Stone Other	Garage None Attached Detached
Basement None Unfinished Finished	Attic None / Crawl Space Unfinished Finished	Air Conditioning None Central Window
Type of Siding Wood vinyl aluminum Brick / Stone Clapboard	Bath Rooms 1 1.5 2 2.5 3 3.5	# of Fireplaces
Wood Stove Porch Area - Sq Ft Deck Area - Sq Ft Pets - Type / Breed: Trampoline	Pool None Inground Pool Above Ground	Alarm System None local central station Type of Flooring: wood Carpet Wood / Carpet
Any Updates to Home? Roof (Year) Plumbing (Year) Heating (Year) Electrical (Year)	Current Insurance Company Expiration date of current Insurance
Have you had any prior claims (last 3 Years)? No Yes List Below (if Yes):	Current Policy Limits of Insurance: (Dwelling, Contents, Liability) Current Policy Deductible: Smoker? No Yes Retired? No Yes Do you have a Personal Umbrella Policy? No Yes Do you have a Valuable Items Policy? No Yes List Below (if Yes):

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