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Homeowners Quote For Michigan Residents Only! Get Started Exterior Interior Eligibility Submit Do you currently have insurance on this property? * Yes Yes, But my policy is being cancelled No, I am buying this property No, I have not kept insurance on it Do/will you live at this property? * Yes No How many people live in the house? (incl kids) * 1 2 3 4 5 6 7 8 9 10+ Property Street Address * City * ZIP / Postal Code * Township (NA if Unknown) * How Many Years at This Address? * Less than 2 years More than 2 years If less than 2 years at the property address above, list previous address: Current Dwelling Coverage Year Built 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900 Construction of Home * Frame (Stick Built) Solid Brick (Stick Built) Single Wide Mobile Double Wide Manufactured Modular How Many Stories? * One Story One & A Half Story Two Story Bi-Level Tri-Level Quad Level Other Siding Type * Aluminum Brick - Solid Brick - Veneer Log Vinyl Wood - T111 Wood - Clapboard Other Foundation (Primary, if a combination) * Basement Crawl Space Michigan Basment Slab Tied Down Attached Garage? * Yes, The garage is attached No, The garage is detached No, There is no garage If so, How many car? 1 Car 1.5 Car 2 Car 2.5 car 3 Car 3.5 Car 4 Car + Type of Roof * Asphalt Shingle Steel Rubber Other Year Roof Updated (NA if unknown) * House Square Footage (do not include basement) * Number of Bathrooms * 1 2 3 4 5 6 7 8 9 10 Flooring * Mostly Carpet Mostly Carpet over Hardwood Mostly Hardwood Mostly Ceramic Tile Mostly Laminate/Vinyl Central Air Conditioning * Yes No Home Heating * Natural Gas Propane Wood Gas & Wood Corn Pellets Geothermal Other Year Heating System Updated (NA if unknown) * Own Any Dogs? * No Yes, 1 Yes, 2 Yes, 3 Yes, 4 Yes, 5 Yes, 6 Yes, 7 Yes, 8 Yes, 9 Yes, 10 If Yes, What Breed(s)? Pool? * No Yes, with fence/gate Yes, with no fence/gate Trampoline? * No Yes, with Net Yes, with fenced yard Yes, with no fence or net Wood/Pellet Stove? * None Yes, in the house Yes, in an outbuilding Yes, in house and outbuilding Yes, outside Claims/Property Losses Past 5 Years (Date,Amount, Description) Member of a Credit Union? Which? (List all) Do you currently or are you interested in also bundling your Auto policy? Yes No First Name * Last Name * Date of Birth * January February March April May June July August September October November December / 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / 2033 2032 2031 2030 2029 2028 2027 2026 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900 Spouse Name Spouse Date of Birth Phone Number * E-Mail Address * What lead you to our Website? * Friend/Family Referral Yahoo Search Google Search Bing Search Other Clicked a link Any additional Info we should know? Important Notice: Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages.  Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company.  If you have any questions, please feel free to contact us. Per the terms of our online privacy policy we will not resell your information to any third-party. Insurance Websites Designed and Hosted by Insurance Website Builder

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