Houston-Taylor Group- serving all your insurance needs

Tony Edel - Insurance Broker -Over 10 Years Experience
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 Primary Home, Secondary, Condo, Mobile Home, Landlord, Tenant, Vacant, Course Of Construction
 
Full Name Of Insured
Address To Be Quoted
Previous Address If Less Than 3 Years
Phone Number
E-Mail Address
Date Of Birth
Social Security Number
Spouse or Co-Titled Name
Spouse or Co-Titled Date of Birth
Spouse or Co-Titled Social Security Number
Usage Of Home
Year Built
Square Footage Living Space
Number of Stories
Exterior Wall Construction
How Many Garage's or Carport's
How Many Bathrooms
Fireplace or Stove
Type of Roof
Porch
Porch Square Footage-Include All
Patio
Square Footage Of All Patios
French Doors
Sliding Glass Doors
Alarm
Sprinkler System For Fire Protection
Swimming Pool
List Breed Of Dogs You Own
Trampoline
Deductible Requested
Amount Of Liability
Dwelling Value Estimate (excluding land)
Contents
Scheduled Personal Property
*Jewelry & Watches
*Furs
*Silver
*Firearms
*Stamps & Coin Collections
*Fine Arts & Breakable Items
Loan Amount Left On Home
Miscellaneous Notes: Here You Can Paste MLS Link To Home Or Note Additional Features Of Home.