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Home Insurance Quotes

Fill out the form below to request a free
home insurance quote. We'll review coverage
options from dozens of top carriers and send
you the best quote. Any questions, just contact
Summit Insurance Agency at 1-330-655-0655.

Visit the Summit Insurance Service Center to request quotes, file claims, and request more info.
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HOME INSURANCE QUOTE REQUEST:
Fill out the form below to obtain a free, no-obligation quote for your home, condo and/or personal belongings,
and we will contact you. If you prefer to give information over the phone, fill out the required contact
information below and we will give you a call.
  
CONTACT INFORMATION:
*Required Fields
*Contact Name:
E-mail: (requested)
*Address:
*City:    *State:    *Zip Code:  
*Area Code:    *Phone:      Area Code:    FAX:  
  
Please indicate how you would prefer us to contact you if we need any additional information.
  Phone
  Email
  Fax
  Mail
  
Have you had continuous coverage for at least 12 months?     Yes   No
If not, why not?
Present Home Insurance Company  
Present Coverage Amount  
Renewal Date  
 
Type of home?     House   Condo   Rental
If your home is a rental, indicate desired coverage amount to cover personal belongings  
 
House and Condo owners fill out the following:
Home Type Construction
1 story Frame or Stucco
1 1/2 story Masonry Veneer
2 story Masonry
Split Level
Bi-Level
 
Foundation Roof
Basement Asphalt Shingle
Crawl Space Wood Shingle
Slab Tile or Slate
Split Level Other
Bi-Level Age of Roof
 
Garage Size Garage Type Bathrooms
1 car Attached # of Full Baths
2 car Detached 1   2  3  4  5
3 car Basement # of Half Baths
4 car Built-in 1  2  3  4  5
Car Port
 
Other Features
Central Air
Wet Bar
Security System		 Central Vacuum
Whirlpool Tub
 
Fireplaces Basement
# of Chimney1     2    3    4    5 Finished?   Yes    No
# of Square Feet
# of Hearths1     2    3    4    5
  
Deck, Porch, Patio
Deck Square Feet 
Screened Patio Square Feet  		Porch Square Feet 
Enclosed Porch Square Feet 
 
Comments

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