Do you own a _______HOUSE _______CONDO _______CO-OP _______RENT
AMOUNT HOME INSURED FOR NOW: $_______________________
LIABILITY LIMIT: $_______________________
POLICY DEDUCTIBLE: $______________________
HURRICANE / WINDSTORM DEDUCTIBLE: ________________%
CURRENT INSURANCE COMPANY: ____________________________________________
RENEWAL DATE: ___________________
ARE YOU LESS THAN 1,500 FEET FROM WATER: (OPEN BAYS, CANALS...) ____Y ____N
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SPOKE TO: |
_________
Mr./s. |
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_______________________________________________________
First
Last |
A representative of Your Agency will call you tomorrow. Please
have your current policy "on hand" so that the agent can make an
accurate comparison.
BEST TIME TO CALL ________________________________________________________
Caller______________________________________Date____________________________
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Call Date |
Representative |
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