Home Owners Insurance Quote - Kado Insurance
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1Home Owners Insurance Quote
For your free quote please fill out this form and either stop by or email it to us at
*Name:
_________________________________________________________
*Address: _________________________________________________________
*City: ___________________ *State & Zip: _________________County: ___________
*Phone: _____________________
Cell #: ____________________
Email______________________________________________ *Preferred Contact Method:
Phone
email
*
indicates required field
Year Home was built _________Type of Construction
Frame
Masonry
Mobile
Pre-Fab
Age of Roof
_____________
Type: _________________ Age of Furnace ____________
Type of Heat__________________________________________
Circuit Breaker
Fuses
Age of Wiring
_________________
__________________________________
Distance to/name of responding Fire Dept
Distance to Fire Hydrant
___________________________________
Visible to Neighbors (# of Homes)
___________________________________
# of Acres & Usage
___________________________________
__________________________
Dollar figure home is currently insured for
Liability Limit
100,000
300,000
500,000
1,000,000
Deductible Requested
250
500
1,000
2,500
__________________________
Square Footage on the Main Floor:
Home:
1-Story
1 ½ Story
2 Story
Bi-Level
Basement: _____________
% Finished ___________ Walk-Out ____________
Deck (Square Footage or Dimensions)
___________________________
# of Bathrooms:
Full ____________ ¾ _____________
½ ______________
Central Air ___________________
Type of Flooring % Carpet ______ Lynol ______ Tile ______ Hardwood _______
Type of Siding
_____________________________________________
Woodburning Stove (Location)
_____________ Type: _____________________
# of Fireplaces & Type
_____________________________________________
Garage:
Attached
Detached
Size:
1 Car
2 Car
3 Car
Any Out Buildings: ____________
Dimensions: __________________
Swimming Pool
YES
NO
Above Ground: __________ (Gated)
Trampoline
YES
NO
Any Animals (Type & Breed)
_______________________________________
Any Bite History
_______________________________________
Any Losses in the last 5 years
_______________________________________
Types of Losses
_______________________________________
Current Carrier & Expiration Date
_______________________________________
Are you being non-renewed or cancelled for any reason
_____________________
Please note that filling out this form does not guarantee, bind, or constitute coverage of any kind. Actual coverage is not in effect
until an application is signed by you and accepted by us.
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Parent category: Legal