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Let's start with the basics:
What BEST describes the type of property you are buying?
*
Mobile or Manufactured Home
Single Family Home
Townhome
Condo
What's the full address of the property we are insuring?
*
What name (or names) should this policy be written under? (Full legal names, as it appears on a Drivers License)
*
What date should your policy start?
*
Month
Day
Year
If you are buying a home, please enter the closing date.
Let's customize your quotes:
If you were to have a claim 90 days from now, which of these out-of-pocket deductibles would fit into your budget? Choose any that work for you.
*
$500
$1,000
$1,500
$2,500
Greater than $2,500
Tip: Higher deductibles can mean lower monthly payments
Would you like coverage for damage caused by water or sewage backing up into your home?*
*
Yes
No
Maybe
*This is considered OPTIONAL, and must be added for your home to be protected against this.
Would you like your quotes to include coverage for Equipment Breakdown?
*
Yes
No
This is similar to a home warranty, but is included as part of your homeowners coverage. It usually costs less than $5 per month.
To make sure you're covered: Which of the following apply?
*
This will be a secondary home
I operate a business from home
I own a dog/dogs
I own exotic animals or livestock, including horses or chickens
This property will be rented via Airbnb or a similar program
This property is located on more than 5 acres
There is a swimming pool WITH a fence or fully fenced yard
There is a swimming pool WITHOUT a fence or fenced yard
There is or will be a trampoline at the home
There will be a daycare on site, for pay or for no charge
None of the above apply
Please describe any updates or renovations that will be done within the first 90 days:
*
Is this property in a required flood zone?
*
Yes
No
I'm not sure- please check for me
To apply potential discounts:
What is your current address?
*
Do you have homeowners or renters insurance at your current address?
*
Homeowners Insurance
Renters Insurance
Not currently insured
Do you currently have auto insurance? If so, with which company?
*
How many WEATHER-related claims have you had in the last 5 years?
*
None
1
2
More than 2
How many NON-weather-related claims have you had in the last 5 years?
*
None
1
2
More than 2
For claims verification, please confirm your date of birth:
*
Month
Day
Year
How did you find out about our services?
*
RE/MAX Realtor
Email
Online Search
Mortgage Loan Officer
How to reach you:
How should we follow up?
*
Phone
Email
Preferred email address:
*
Preferred phone number:
*
That's it for now! Click submit, and we'll get started for you!
Phone
This field is for validation purposes and should be left unchanged.
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Call Us: (704) 926-2500
Home
About
Carrier Information
Executive Insurance- Privacy Policy
Insurance
Homeowner
Automobile
Boat Insurance
Condo Insurance
Flood Insurance
Motorcycle Insurance
Renters Insurance
Umbrella Insurance
Client Services
Service My Policy
Renew My Policy
Update my Mortgage Information
Contact
Get A Quote
Home, Condo or Townhome Quote
Auto Insurance Quote
Rental or Investment Property Quote
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