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

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    Required Field

Name:

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 Type if Known Recommend Coverage?s DP1 Dwelling Basic DP2 Dwelling Extended DP3 Broad Coverage Fire Only Pollicy Home Owners Primary HOA Home Owners Primary HOB Fire EC VMM Retail Structure Industrial

Business Entity Name: if applicable

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Property Address:

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   State:  

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Not Required, But may get you a lower rate

HO1 / HOA qualify for issue without SSN and without Credit Score.

if owner:

Date Established

 if other

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Alternate Phone:

Property Information

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      * Purchase Date

Property Type and Usage:

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  Single Family Dwelling Town House Multi Family Condo Unit Apartments Professional Building Retail Structure Industrial Manufacturing Small or Home Office     Rented to others Owner Occupied Vacant

Approx Sq Ft.

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  1 Story 2 Story 3 Story 4 Story

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

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

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Yes No   

Is the property 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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  Good Credit Fair Credit Poor Credit Bad Credit Very Bad Credit

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

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