The Stammen Companies : Insurance and Financial Services : Free Home Insurance Quote

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Home Insurance Quote

To receive a free, no obligaition quote for Auto Insurance, please fill out the request form below and one of our agents will contact you..

Our office hours are 8:30 to 5:00 pm Monday, Tuesday, Wednesday and Friday 8:30 to 12:00 Thursday and the first and third Saturday of the Month from 9:00 to 12:00.

Please remember we are licensed to transact insurance business within the states of Ohio, Indiana, Michigan, Pennsylvania, and Kentucky.

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Name
Address
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Home Phone
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Date of Birth
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Coverage Information
Present Insurance Company
Policy Term Dates
Type of Policy Requested
Dwelling Coverage Amount
If Condo/Renters Policy please enter personal property amount
Limit of Liability Requested
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Property Information
Estimated Square Footage of Home (Not Incl. Basement)
Year Built
Claims in Last 5 Years: 0 1 2 3 4 5
Please use the space below to give an estimate of the date, brief description, and payout of the claims indicated above.
Construction Frame or Stucco Masonry Veneer Masonry
Year of Last Roof Update
Year of Last Electrical Update
Year of Last Plumbing Update
Year of Last Heating Update
Do you: Have a Trampoline Have a Wood Burner Have a Fireplace Have any Animals on the Premises Have a Business on the Premises Babysit for Others on the Premises Have a Smoke Alarm Have a Fire Extinguisher Have Dead Bolt Locks
Miles from Fire Dept.
Feet from Fire Hydrant
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Download this FREE program from the Insurance Information Institute to easily develop a home inventory.

We‘ve compiled this checklist to help you identify areas where your insurance coverage can be improved.

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