Maraleto Insurance - Health Insurance Broker - Medical Insurance Broker

Homeowners Insurance

Secure yourself from the disruptive effects of fire, theft and other perils on your home with Homeowners Insurance. The policy covers for any damage or loss to your house and the personal items therein as well as from liability claims.

* =Required Fields
Personal Information
*First name	*Last name	*Gender

Occupation

Age

*Home phone

*Business phone

*Marital status

*Email address

Property Address

*Street

*City

State

*Zip code

County

About your home

*No. of bathrooms

*no. of fireplaces

*No. of units	*living sq. footage
*Year built	*number of levels
*Swimming pools	*No. of car garage
*Spa		Attached
*Heating		Detached
*A/C		Built-in
*Roof type
*Deck	*Porch
Construction type	*Roof age
*exterior type	*Foundation
Coverage Limits

*Liability requested

Deductible

Dwelling

Personal property	Loss of use
Discounts

*Smoke detector

*Sprinkler coverage

*Auto insurance company

*Burglar alarm

*Type of alarm	*Non-smoker discount

Insurance Information
Prior/current carrier		No. of claims (in last 3 years)

1. Type of claim		Amount of claim
2. Type of claim		Amount of claim
3. Type of claim		Amount of claim

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