Skene Valley Agency
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Need a Homeowners Quote?
Contact Information

Please fill out the information below as complete as possible. We will work to try to get you a homeowners quote based on the information you provide. When finished, you can click the "submit" button. Please remember to complete the section on how you wish to be contacted. Please keep in mind that many insurance companies now use insurance scores, which are derived from your credit score. By submitting this information, you understand that insurance scores may be run to help determine your premium.

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Year home was built:
Number of Stories:
Ground Floor Square footage or Dimensions (if known):
Is there a basement, crawl space or slab:
If Basement, is it a full basement:
What type of Roof ( slate, shingles etc):
Approximate age of the Roof:
Are there circuit breakers:
Has the electrical system been upgraded in the last 20 years:
Type of Plumbing (copper, pvc etc):
Has the plumbing system been upgraded within last 20 years:
What type of heating system do you have:
How old is the heating system:
Do you have an attached garge or carport:
If yes, home many cars:
Do you have a swimming pool:
If in ground, is it fenced:
Do you have a woodstove:
If yes, has it been professionally installed to meet local fire codes:
Do you have a trampoline:
Do you have any animals:
If yes what kind:
Any history of bites from the animals:
Any other buildings or other unusal items on your property. If so please explain below in the comments section:
Daytime Phone:
Evening Phone:
Email:
Comments:

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