Homeowners Insurance Quote

Applicant Information

First Name:

Last Name:

Address:

City:

TEXAS

Zip Code:

Daytime Phone:

Cell Phone:


Email:  (Required)


How Best To Contact You:
Select One Cell Phone Daytime Phone Email

Currently Insured:
Select One Yes No


Date of Birth:

Social Security #:



Spouse First Name:

Spouse Last Name:

Spouse Date of Birth:

Spouse Social Security #:




Property Usage Information

Flood insurance policy in force:
Select One Yes No

Coverage Requested For:
Select One Primary Home Second Home Condominium Apartment Townhouse Other

Years Lived at Address to be Insured:
Select One Less than 1 1 to 2 years 2 to 5 years Over 5 years Haven't moved in

Usage Type:
Select One Primary Home Seasonal Rental Farm Vacant Other

Dwelling Occupied By:
Select One Owner Tenant



Choose Coverage Limits

Value of Your Dwelling:
$

Additional Structures Value:
$

Value of Your Personal Property:
$


Personal Liability (each occurence):
Select One $100,000 $300,000 $500,000

Medical Payments (each person):
Select One $1,000 $5,000 $10,000

Other Perils Deductible:
Select One $2,500 1% 2% 5%

Windstorm Deductible:
Select One 2% 3% 5% Exclude Wind



Policy Endorsements

Replacement Cost, Dwelling:
Select One Yes No

Replacement Cost, Contents:
Select One Yes No



Dwelling Information

Distance from Fire Department:

Year Dwelling Built:


Dwelling Square Feet:


Construction Type:
Required-Please Select Wood Frame Steel Reinforced Mill Concrete Block Concrete Tilt Up Hardi Plank Brick Veneer Stucco Other

Central Fire Alarm:
Select One Yes No

Sprinklered All Rooms:
Select One Yes No

Smoke Detectors:
Select One Yes No

Deadbolt Locks:
Select One Yes No

Plumbing Renovation:
Select One None Partial Complete

Plumbing Renovation Year:


Electrical Renovation Year:


Type of Wiring:
Select One Circuit Breakers Knob & Tube Fuses Other


Amps:


Heating Type:


Heating Renovation Year:


Roofing Renovation:
Select One Partial Complete

Roof Age:


Exterior Paint Renovation:
Select One None Partial Complete

Exterior Paint Renovation Year:


Swimming Pool:
Select One None Above Ground In-Ground

Diving Board:
Select One Yes No

Pool Screened:
Select One Yes No

Approved Fence:
Select One Yes No

Basement:
Select One Yes No

Garage:
Select One Attached Unattached None

Garage Size:
Select One 1 car 2 cars 3 cars 4 cars more than 4 cars

Fireplace:
Select One Yes N more than 1 fireplace

Have a Wood Stove:
Select One Yes No

# of Full Baths:
Select One 1 2 3 4 5 more than 5 full baths

# of Half Baths:
Select One 1 2 3 more than 3 full baths



Loss History

Did you have any losses, whether
or not paid by insurance, during the
last 5 years, at this dwelling location
or any other location:


Select One Yes No


Description of losses, including
amount paid on each accident.






Question or Message:



Click the "Submit Quote Request"
button below to send your Texas
Homeowners Insurance request to
Texans Insurance & Financial Group.


***By submitting this request you
acknowledge that this is neither
an offer to insure nor a guarantee
of insurance.***








We are a Sugar Land, TX insurance
agency offering affordable Texas
homeowners insurance policy quotes
in the following towns, cities and
counties in the Houston, Texas area:
Meadows, Town West, Four Corners,
Crabb, Booth, Thompsons, Houston,
Manvel, Pleak, Kendleton, Eagle Lake,
Sandy Point, Beasley, Rosenberg,
Richmond, Orchard, Fulshear, Juliff,
Arcola, Needville, Frydek, Rosharon,
Bonney, East Bernard, Lissie, Elm Grove,
Spanish Camp, Wharton, Guy, Bellville,
Wallis, Pasadena, Deer Park, Fresno,
Pearland, Galena Park, Jacinto City,
La Porte, Bellaire, West University Place,
Cloverleaf, Beaumont Place, Spring
Valley, South Houston, Iowa Colony,
Hilshire Village, Humble, Houmont Park,
Friendswood, League City, Alvin, Mission
Bend, Stafford, Missouri City, Texas City,
Webster, Dickinson, Baytown,
Channelview, Highlands, Seabrook,
Bacliff, La Marque, Jersey Village, Lake
Jackson, Surfside Beach, Algoa,
Santa Fe, Barker, Katy, Sealy, Dayton,
Angleton, Freeport, Bammel, Kohrville,
Bay City, Brenham, Addicks, Brookshire,
San Felipe, Hockley, Waller, Prairie View,
New Caney, Beach City, Nassau Bay,
North Houston, Hempstead, Tomball,
The Woodlands, Burr, Iago, Boling,
Peters, Cat Spring, Burleigh, Waller
County, Wharton County, Brazoria
County, Harris County, and Fort Bend
County, TX. We can also offer a Texas
homeowners insurance quote
throughout the Lone Star state, including
in Beaumont, Austin, Waco, Fort Worth,
Dallas, and San Antonio, TX.


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