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About Our Homeowners Program
PA online home insurance information and quotes
What Sets OUR Homeowners Products Apart from the rest?

low rates on PA home owners insurance plans  ° Save over 20% with home & auto discount!

 ° We write older homes!

 ° Homes 50 yrs and newer eligible for up to 40% off!

 ° Water and Sewage backup coverage available.

 ° Low rates and Same-Day policy issue!

Get your FREE Pennsylvania Homeowners Quote NOW!

 

Homeowners Insurance
Quotation Form
One Simple Form - takes only 2-3 Minutes!


Your Personal Data:
 
Your Name:
Property Address:
City:
Your "County" is?
State: (Must be Pennsylvania)
Zip/Postal:
E-Mail (REQUIRED):
E-Mail again for accuracy:
Phone:
Fax (optional):
 
Primary Policyholder's Birthdate:
(REQUIRED - Some companies products
offer discounts for certain age groups.)
Marital Status:
If Married, Spouse Name:
If Married, Spouse Date of Birth:
 
 
 
Dwelling Information
 
Year Home Built:
Home Square footage:
 
Month/Year home
to be complete:
 
Type foundation: Basement
Slab
Crawlspace over slab
Other (list in remarks)
(If basement, what % is finished?)
% FINISHED
 
Type Construction: Brick/Veneer
Vinyl
Aluminum
Wood

Other (list in remarks)
 
Type Roof: Shingle
Wood Shake
Tar/Gravel
Spanish Tile
Metal Other
 
Number of stories: One 1.5
Two Three
 
Do you own animals or pets? Yes No
If yes, list type/for dogs, list breed:
 
# of feet to nearest
fire hydrant:
# of miles to nearest
fire station:
 
Does Home Have a Garage? Yes No
Tell whether built in, detached/attached, and how many cars?
 
Currently Insured? Yes No
Name of Carrier & how long insured?
 
 
Rate Your Credit History and Past Insurance Payment History:
(Some companies products are
based on your credit and payment history.)
Excellent Fair
Poor Horrible
 

# Bedrooms: # Bathrooms:
 
# Fireplaces:
 
Special features
(i.e., deck, air conditioning, alarm systems, pool, etc.)
 
Coverages:
 
Dwelling Cov. $ Contents $
Liability Cov. $ Deductible $
($250, $500, $1,000, etc.)
 
Comments/Remarks
(describe any scheduled jewelry, in-home business, oil tank location, or other special coverages/remarks here):
 
Send my quotation via: E-Mail Fax
Regular Mail
Call Me By Phone

Thank you for filling out this form COMPLETELY!

We value your input as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or ANY other purposes. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release us from any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.

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Questions? E-Mail Us At: quotes@pa-homeinsurance.com | Our Pennsylvania Insurance License #: 365642
D. Aaron Buhl Agency . 4204 East Ewalt Road . Gibsonia, PA 15044 . Phone: 724-443-5610 . Fax: 724-443-5622

PA-Home Insurance.com has made purchasing Pennsylvania homeowners insurance EASY. We have developed a website where anyone can find, compare, and purchase Pennsylvania home insurance online. We provide you access to the nations leading insurance carrier to find you the best value on PA home insurance and other homeowners insurance products. Letting us shop for you allows you to save money on your Pennsylvania homeowners insurance through a top Pennsylvania insurance carrier. Get a free quote on your Pennsylvania home insurance today. Keywords used by customers to find us online include: Pennsylvania homeowners insurance, PA homeowners insurance, low cost Pennsylvania home insurance, PA homeowners insurance policies for Pennsylvania, pennsylvania home insurance quotes.

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