Craig & Hall
Insurance Agency, Inc
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502-863-0755
158 East Main St., P.O. Box 249 Georgetown, KY 40324
HOME AND PROPERTY
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HOME AND PROPERTY QUote
First Name*
Last Name*
Address
Phone*
Email
Preferred Method of Contact
Phone
Email
Occupation of Named Insured
Current Insurance Carrier Name
Current Policy Expiration/Renewal Date
Length of Time With Current Carrier
Date of Birth
Year Home Built
Type
Ranch
Multi-Level
Other
Construction
Brick
Vinyl
Wood
Other
Square Feet (excluding basement)
Number of Stories
Foundation Type
Slab
Crawl
Basement
If Basement, What Percentage is Finished?
Is Basement a Walk Out?
Primary Heat Source
Gas
Electric
At anytime is your house use as a rental to others (Airbnb or Vrbo...etc)
Ye
No
Do You Have a Fireplace?
Yes
No
Number of Fireplaces?
If Fireplace, Do You Have a Chimney or is it Ventless?
Number of Bathrooms (full and half)
Do You Have a Front Porch?
Yes
No
If So, Approximate Square Feet
Do You Have a Deck?
Yes
No
If So, Approximate Square Feet
Do You Have a Patio?
Yes
No
If So, Approximate Square Feet
Do You Have a Burglar Alarm?
Yes
No
Do You Have a Mortgage?
Yes
No
Current Insurance Policy Coverages
Have You Had Any Claims in the Past 5 Years?
Yes
No
New Field:
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Address:158 East Main St., P.O. Box 249 Georgetown, KY 40324
Email:
info@craigandhallinsurance.com
Phone:
502-863-0755
Fax: 502-863-7902
“We are also associated with PIA” Association
Certified Professional Insurance Agent (CPIA)
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Address:158 East Main St., P.O. Box 249 Georgetown, KY 40324 |
Email:
info@craigandhallinsurance.com
Phone:
502-863-0755
|
Fax: 502-863-7902
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