Taylor Thomason Ins Brokers

Homeowner's Quote

Policy Holder
Contact Name *
Email *
Phone Number
Property Location
Address
City
State
Zip
County
Current Insurance Information
Company Name
Current Annual Premium
Expiration Date
Deductible Desired
Amount of Liability
Earthquake Coverage Desired? Yes  No
Have you filed for bankruptcy within the past 7 years? Yes  No
Dwelling Information
Estimated Replacement Cost
Square Footage
Year Constructed
How Many Floors? 1 Story
1.5 Story
2 Story
Bi-Level
Tri-Level
Other
Type of Construction Wood
Stucco
Masonry
Brick Veneer
Aluminum Siding
Other
Other Features
(check all that apply)		 Dead Bolts
Smoke Detectors
Fire Extinguisher
Central Station Fire Alarm
Central Station Burglar Alarm
Home Located within 5 miles of Fire Station
Home Located within 1000 feet of a Fire Hydrant
Swimming Pool
Trampoline
Home located within City Limits
Claims
List any claims in past 3 years:
  Amount Paid Claim Type Description
1.
2.
3.
Personal Property
Estimated value of your personal property:
Jewelry & Watches
Furs
Silver
Firearms
Stamp and Coin Collections
Fine Arts and Breakable Items
* = Required Field
Disclaimer Notice - The premiums quoted are estimates based on information you provided. This quotation does not constitute a contract of insurance, nor does it provide coverage for any loss or claim. Coverage can only be bound by an agent with a signed application and a down payment.
Send

Insurance News

May’s Brexit Deal Rejected by Parliament in Landslide Vote
Tue, 15 Jan 2019 23:51:01 +0000
Prime Minister Theresa May’s Brexit deal was rejected by Parliament in a hu...
Read More
CSAA in California Names Evans VP of Regulatory and Government Affairs
Tue, 15 Jan 2019 20:44:55 +0000
CSAA Insurance Group has named Katherine Evans president of regulatory and ...
Read More
Alabama Chiropractor Gets 3 Years in Trucker Health Exam Fraud Case
Tue, 15 Jan 2019 17:57:41 +0000
An Alabama-based chiropractor, who was accused in a scheme to conduct fraud...
Read More