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1-214-351-4097

2626 Cole Ave. Suite 300

Dallas, TX 75204

9:00 am - 6:00 pm

Mon - Fri

Texas Homeowners insurance quote

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

Owners Information

*

Required Field

Name:

*

      Type if Known

Property Address:

*

City:

*

State:

Zip Code:

*

County:

*

Date of Birth

if owner:

Date Established

if other

*

Email:

*

Phone:

*

Alternate Phone:

Property Information

Year Built:

*

     * Purchase Date

Property Type and Usage:

*

Approx Sq Ft.

*

Number of Stories:

*

Number of units:

 *

1 2     Specify

Type of Construction

*

Other

Type of Roof:

*

Other

Garage Facility:

*

Other

Is there A Pool ?:

*

Yes No

If Yes, Is it Fenced or Gated Yes No

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

*

Yes No

Nearest Fire Station:

*

 Distance to fire hydrant

Prior 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)

Protective Devices?

 *

Home Updates?

 *

Roof

Electrical

Plumbing

AC / Heat

Currently Mortgage?

*

Yes No     (Does or will, this home have a Mortgage?)

Currently Insured?

*

Yes No

Current Insurance Co. Name?

*

Current Annual Premium?

*

Expiration Date?

*

Coverage Requested

Property Coverage.

*

Property Value

$

Loss of use   Rents

*

Liability Coverage.

*

 

Unscheduled Contents

*

Default is 25 K Non Luxury

  $ 

Desired Coverage Valuation Method

*

 

Hurricane Coverage Needed?

 *

Yes No

Desired Deductible:

 *

1 % 2 %

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

My preferred Contact:

* Email Call by Phone

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Disclaimer Notice: - The premiums quoted are estimates based in 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 contact our office at the number above for a personalized quote.