How do you want the quote sent back Email By Fax By phone Mailed
Type of Policy Homeowners Condo/Townhouse Renters
Number of Families Single Two Family/Duplex 3 or 4 Family
Please choose one from each coverage. Coverage's A(Dwelling), B(other structures), C(personal property) and D(loss of use) can only be calculated after we receive this quote. For information on these coverage's click the above highlighted letter. Remember! use your browsers "Back" button to return to this quote.
Deductible Please choose your deductible. The higher the deductible the less your policy will cost.
$100,000 $300,000 $400,000 $500,000 $600,000 $1,000,000
$1,000 $2,000 $3,000 $4,000 $5,000
not appl. 10,000 15000 20000 25000 30000 35000 40000 50000
Dwelling Replacement Amount(Homes Only) If you have a dwelling replacement amount you want us to quote on please state below. Otherwise we will take the information you provide below to come up with a dwelling coverage limit.
Desired Dwelling replacement Amount(Coverage "A"):
How Many Floors: One Two Two and a half Three
Square Footage(first floor only) if available: I do not know. The above footage represents TOTAL square footage.
Year Constructed:
Exterior: Framed(clapboard, asbestos, etc) Aluminum/Vinyl Siding Masonry Veneer(Stucco) Masonry
Distance From Ocean: Shoreline Less than 500ft 500 to 1499ft 1500ft+
Heating Source: Oil Gas Electric
Garage None One car attached Two car attached One/two car basement
If Older Home State Updates(last 20 years) No updates done
Check Boxes That Apply(answering thoroughly insures proper discounts/coverage) Guaranteed Replacement on Contents Guaranteed Replacement on Dwelling Fireplace Deck(s) Porch(es) In Home Business Burglar alarm Smoke alarm system Sprinkler System Deadbolts nonSmoker Age 49 and older Other properties owned Home computer type(breed if dog) Trampoline
Created for Carroll K. Steele Insurance Agency, Inc. by
