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39 Maple Ave.
New City, NY 10956
(845) 638-6200
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Flood Insurance Quote Request

Most Homeowners insurance policies specifically exclude flood.  A flood is “A general and temporary condition of partial or complete inundation of two or more acres of normally dry land or of two or more properties (at least one of which is your property)”

Name
Address of Property
Current Address
Day Time Phone
Evening Phone
Email Address
Occupation
Purchase Date
Purchase Price
Current Loan Amount
Insurance required for loan (yes/no) Yes No
Currently Insured for Flood Yes No
Current Company
Current Expiration date
Current Dwelling Limit
Self-Described Credit History Excellent
Average
Poor
Type of Home
Basement
Contents in Basement
Occupancy
Year Built
Exterior Walls
Square Footage
Full Bathrooms
Half Bathrooms
Garage
Fire Place Yes No
Deductible
Preferred Contact Time
Comments….

You may be contacted to verify additional information.  For everyone’s courtesy please only submit serious requests.

     

 

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