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Texas Homeowners Insurance Quote
One Simple Form - takes only 2-3 Minutes!                                Need Help ? Phone 214-351-4097


Personal Information

*

Required Fields                                                           Coverage Type if Known

Your Name:

*

      HO Comparison Chart

Property Address:

*

City:

*

State:

Zip Code:

*

County:

*

Social Security Number

*

Not Required, But may get you a lower rate

HO1 and Dp1 only issued without SSN and without Credit Check.

Date of Birth:

*

Email:

*

Home Phone:

*

        Cell or alt.Phone:

Dwelling Information

Year Home was Built:

*

              * Purchase Date

Property Type and Usage:

*

  

Approx Sq Ft.

*

Number of Stories:

*

Type of Construction

*

     Other

Type of Roof:

*

   Other

Is there A Pool ?:

*

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?

*

Yes No

Nearest Fire Station:

*

Distance to fire hydrant

Prior Losses Claims? :

*

Type:

Date (mm/yy):

Amount paid:

How is your Credit History?

*

(Some Carriers use credit history to quote) (Bad Credit is OK, We have programs for all)

Garaging Facilities?

 

 

Protective Devices?

*

Home Updates? or Best Estimate? Original?

*

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

Roof

Electrical

Plumbing

 AC / Heat

Currently Mortgage?

*

Yes No  <--- Does your home have a Mortgage?

Currently Insured?

  Yes No

Current Insurance Co. Name?

*

Current Annual Premium?

*

Expiration Date?

*

Coverage Requested

Property Coverage.

*

Value of your property

$  

Unscheduled Contents $

Default is 25 K Non Luxury items

$

Liability Coverage.

*

   

Desired Deductible:

*

1 % 2 %

Desired Coverage Valuation Method

*

  Value

Mortgage Co's Require Replacement

Hurricane Coverage Needed?

Yes No

Earthquake Coverage Needed?

Yes No

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

  

My preferred Contact: method     *

Email Call by Phone

Thank you for filling out Our Quote Request Form!

Disclaimer Notice: - The premiums quoted are estimates based on the information you provided. If you have any questions or other pertinent information you feel necessary to properly quote your insurance Please feel free to phone us at the number above for a personalized quote.

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