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Renters/Content - Insurance Quote

Information

Name
E-mail
Address
City
State - ZIP
Home Phone
Work Phone
Name of Current Insurance Co.
Current Premium
Building Construction: Frame
Stucco
Aluminum or Vinyl
Brick
Brick Veneer
Other: 
Year dwelling was built:
DWELLING is: 1-family
2-family
APARTMENT
Check if you have: Central heat
Fireplace 
Central Air Conditioning
Swimming Pool
Monitored Alarm
Smoke Detector(s)
Fire Extinguisher(s)
Dead Bolt Locks on all outside doors
Sprinklers)
Square ft.
Number of baths
Garage is:
Number of Stories
Type of Roof
Purchase Amount
Loan Amount

Current Coverages

Personal Property Limit:Minimum required is $25,000 $
Deductible:
(NOTE: Higher deductibles
reduce your premium)
$
Replacement Cost Included YesNo
Minimum required 1%   -

Personal Liability

$300,000 included

Medical Payments to Others

$1,000 included

Comments
(List claims in last 3 years)

 

 

Contact Bankhead Insurance Agency

Phone: (214)343-1333

Fax: (214)343-3875

Email: info@insurancedallas.com

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  Webmaster@insurancedallas.com

 

 

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