texas homeowners insurance - free quotes

TX homeowners insurance
  • ONE SIMPLE FORM!   Just complete the simple application below, and we will E-mail
    your Texas Homeowners Quote to you within hours.

  • NO NEED TO LOOK AROUND!    We shop Texas' Major Homeowners companies
    FOR you, so you get the best price and coverage, period!

  • HELP AS CLOSE AS YOUR PHONE!   If for some reason you don't want to do the
    application online, just call us toll-free at: 1-866-923-4539. We'll quote it on the phone!
     

    Proceed to the EASY Homeowners Application below!



    Homeowners Insurance Quotation Form
    Your Personal Data:
     
    Your Name:
    Property Address:
    City:
    Your "County" is?
    State:
    Zip/Postal:
    E-Mail (REQUIRED):
    E-Mail again for accuracy:
    Phone:
    Fax (optional):
     
     
    Dwelling Information
     
    Year Home Built:
    Home Square footage:
    Is this Builder's Risk?
    (new home constr.)         		NO YES
    What Occupancy Type Will This Home Be? Owner Occupied
    Tenant Occupied
    Vacant
    Month/Year home purchased:
    Number of units: 1 Family Duplex
    Townhome Condo
    4-Plex
    Type foundation: Slab
    Crawlspace over slab
    Pier & Post
    Other (list in remarks)
    Type Construction: Frame
    Brick/Veneer
    Stone
    Other (list in remarks)
    Type Roof: Composition Shingle
    Wood Shake
    Tar/Gravel
    Spanish Tile
    Metal Other
    Number of stories: One 1.5
    Two Three
    Do you own animals or pets? Yes No
    If yes, list type/for dogs, list breed:
    Are You Near Brush Area? Yes No
    # of feet to nearest
    fire hydrant:     		# of miles to nearest
    fire station:
    Currently Insured? Yes No
    Name of Carrier & how long insured?
    Prior Claims? Yes No
    Describe claims in detail:
    Rate Your Credit History and Past Insurance Payment History:
    (Some companies products are
    based on your credit and payment history.)     		Excellent Fair
    Poor Horrible
    Primary Policyholder's Birthdate:
    (Some carriers offer discounts for certain age groups)
    Plumbing type: Copper Galvanized
    Mixed (Copper/Galvanized)
    Circuit Breakers or fuses? Breakers Fuses
    Central Heating and Air? Yes
    No (describe in remarks)

    # Bedrooms: # Bathrooms:
    # Fireplaces: # Chimneys:
    Special features
    (i.e., deck, air conditioning, alarm systems, pool, etc.)
     
    Coverages:
     
    Dwelling Coverage: $ Contents: $
    Liability Coverage: $ Deductible: $
    ($250, $500, $1,000, etc.)
     
    Comments/Remarks
    (describe any scheduled jewelry, in-home business, or other special coverages needed here):
     
    Send my quotation via: E-Mail Fax
    Regular Mail
    Call Me By Phone

    Thank you for filling out this form COMPLETELY!

    We value your input as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or ANY other purposes. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release us from any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.

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