HOMEOWNERS INSURANCE QUOTE

Name:
Address:
City, State & Zip:
E-Mail:
Phone:

 

Information About Your Home:

Year home built:		Square Feet:
	Yrs @ present address:
Liability coverage:	Select.. $100,000 $300,000 $500,000 1,000,000	Market Value:

Nearest fire hydrant:	Select.. Less then 1,000 ft More then 1,000 ft
Nearest fire department:	Select.. More then 5 miles Less then 5 miles

Home Type:	Select.. 1 Story 1 1/2 Story 2 Story Split Level Bi Level Other	Construction:	Select.. Frame Brick Masonry Other
Roof Type:		Garage Type:	Select.. 1 Car 2 Car 3 Car Other
Age of roof:		Garage:	Select.. Attached Detached Basement Other
# of Bedrooms:		# of Fireplaces:
# of Bathrooms:		Exterior:	Select.. Deck Porch Patio Screen Patio

 

Additional Comments
Please give any additional comments you may have or enter any additional information not cover on the form:

Centennial Insurance Group, Inc. ™

 

I’m not too far removed from my law school contracts class, so I remember all too well the adage, “If it sounds too good to be true… It probably is.” 

That’s what came to mind when Centennial quoted me my rate.  I was sure this was “too good to be true,” because the quote was so much less than what I’d been paying. 

Well, after almost offending my agent by telling him that he was doing something wrong, I received the rates quoted to me. 

Thank you Centennial for the money that you guys are saving me!!!

Matthew S. Gore, Esq.