Homeowner Insurance Lead Sample
Our home insurance lead category is used for homeowner, condo and renters coverage. We will break the lines out to exclude condominium or renters from your lead territory if you choose.
All contact information and address detail is required on the quote form. We do request an alternate phone number as well as an alternate e-mail address. There are fields to include extensive information regarding the home including current coverage (if any), home features and safety devices or alarms. As with all quote forms, the consumer is encouraged to include any additional comments.
Homeowner insurance quote
This quote request was received: 09/29/2003.
CUSTOMER INFORMATION:
Name: ****
Address: ****
City, State Zip: Dallas, TX 75287
Principal Owner Name: Same as above
Principal Owner Social Security Number: ****
How would you describe your credit: Excellent
Phone: (972) ****
Alternate Phone: ****
EMail: ****
Alternate EMail: N/A
LOCATION INFORMATION:
Property address:
Same as above , 75287
Policy type: Homeowners
COMPANY INFORMATION:
Current Company: 1st Horizon Ins. Services
Expiration Date: 02/28/04
Current Premium:
Do you have replacement cost coverage on your dwelling?: Yes
Do you have replacement cost coverage on contents?: Yes
COVERAGE INFORMATION:
Dwelling: 300,000
Personal Property (Contents): 75000
Other Structures: 30,000
Liability: 500,000
Deductible: 1000
CLAIM INFORMATION:
Number of claims in the last three years: 0
HOME INFORMATION:
How long at your current address: yrs 6months
Square Footage: 1691
Year Built: 1983
Construction: Brick Face/Other Sided
Number of Families: One
Occupied by: Owner
Is this a new purchase or a newly built home: Yes
HOME FEATURES:
Stories: 1
Roof type: Asphalt Shingle
Garage - number of cars: 2
Garage type: Attached
Number of bathrooms: 2 Full, 0 Half
Basement type: None
Fireplaces: 1
Is there a deck or porch: None
Heating system: Electric
Central air: Yes
SAFETY FEATURES:
Smoke detectors: Smoke Detectors
Dead bolt locks: None
Fire extinguisher: None
Burglar alarm: Monitored
Fire alarm: Monitored
ADDITIONAL COMMENTS: N/A |
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