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First Name
Last name
Mailing address
City
State
ZIP code
Email
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Best time to call you
Occupancy status
Owner
Rental
Seasonal
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Type of dwelling
Frame home
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Other (please specify)
If other, please specify
Year Built
Address
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ZIP
Central alarm system?
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How many miles to the closest fire department?
Coverage amount ($)
Deductible
$500
$1000
$2000
$2500
Number of acres
(owned and rented)
Other Coverages
Replacement cost dwelling
Replacement cost contents
Earthquake
Submersible pump
Water/sewer backup
pg3
Do you own a dog?
Yes
No
List any home or dwelling claims you have submitted in the last 10 years, including the date and amount of the claim.
Dade County News
Tornado-ravaged hospital to be demolished in Missouri
January 28, 2012
Veteran from the Ozarks is testing newest prosthetic legs
January 22, 2012
Father of veteran killed in Lockwood beating dies in Sunday car crash
January 16, 2012
Farmers Mutual Insurance Company of Dade County purchases reinsurance from Grinnell Mutual Reinsurance Company.
Grinnell Mutual
is rated "A" by A.M. Best Company.