McAlpin Agency, Inc.

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Homeowners Insurance

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If you live outside of Minnesota click on the Agency Link System

Agency Link System

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For Homeowners, Condominium/Townhouse Owners & Renters Insurance Quotes, please complete the form below.
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This is a request for a Minnesota insurance quote, not a policy application. Submitting this form does not obligate you to purchase any products. Please complete this form as accurately as possible. Homeowners insurance rates are subject to change.

General Information

Name
Street
City, State ZIP
County Located
E-mail
Phone
Fax:
Agent Request
Send information by:

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Current Insurance Information

Insurance Company Expiration Date

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Dwelling Information

Occupancy Usage
Type Construction

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Property Coverage Information

Dwelling Amount Contents Other Structures
Deductible Personal Liability Medical Payments

Scheduled Property

Jewelry $ Furs $
Fine Art/Antiques $ Guns $
Silverware $ Golf Equipment $
Musical Instruments $ Cameras $
Computer Equipment $ Stamps/Coins $

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Dwelling Protection

Responding Fire Department Miles to Fire Department Feet to Fire Hydrant
Fire Alarm Fire Sprinkler System Burglar Alarm

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Underwriting Information

Year Built Year Heating Updated Year Wiring Updated
Year Roof Updated Year Plumbing Updated Woodstove
Yes No
Swimming Pool Claims Last 3 Years What Happened & Amount Paid
Yes No Yes No

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Additional Comments

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Send mail to mwsmith@visi.com with questions or comments about this web site.

Michael W. Smith Agency

Copyright © 1997 Michael W. Smith Agency
Last modified: March 21, 2000