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What kind of home is it
single family
Apartment
Condo-Townhouse
Duplex
What is the property address?
Year Built
2024
2023
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Is this your primary residence?
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No
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Tell us about your current coverage
Is this a new purchase?
Yes
No
Have you had insurance within the last 30 days?
Yes
No
Have you made any home insurance claims in the past 3 years?
Yes
No
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Almost done! What's your contact info?
First name
Last name
Gender?
Male
Female
Credit rating
Fair
Good
Excellent
Email
Phone
Date of birth
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