Homeowner Insurance Quote Kingshill Insurance Services

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Personal Information

First Name:

Last Name:

Street Address:

City:

State:

Zip:

Phone:

Email:

Date of Birth

Occupation

Preferred Contact Method(s)

Call

Email

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Home Information - General

Year Built

Type

Stories

Living Space (sq ft)

Construction

Foundation

Age of Electric (years)

Age of Plumbing

Age of Heating

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Home Information - Interior

Full Baths

Half Baths

Chimneys

Hearths

Finished Basement

Central Air

Yes

No

Centrally Monitored Security System

Yes

No

Indoor Sprinkler system

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Home Information - Exterior

Garage Type

Garage Size

Roof Type

Age of Roof

Deck Size

Screened Porch Size

Pool

Yes

No

Pool/yard Fenced

Yes

No

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Coverage Information

Current Insurance Company

Current Policy Expiration

Coverage Options

Earthquake

Flood

Identity Theft

Jewelry

Service Line Coverage (Sewer,water main, utility lines covered to the street)

Personal Injury (Libel, Slander, etc)

Breed(s) of Your Dog(s)

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Additional Information

Comments

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I understand that insurance coverage is not bound or altered until I receive confirmation by an authorized representative of Kingshill Insurance Services

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Homeowner Insurance
Kingshill Insurance Services

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Business Hours

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Homeowner InsuranceKingshill Insurance Services

Get a homeowner insurance quote. Complete the form below and we'll get in touch with you.

Contact Us

Homeowner Insurance
Kingshill Insurance Services