Home Quote – Castle Insurance

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Thank you for considering Castle Insurance for your homeowners insurance needs. We are committed to providing you with exceptional service and customized insurance solutions to protect what matters most to you.

Personal Information

Name

Street Address

Apartment, suite, etc

City

State

ZIP / Postal Code

Email Address

Phone

Occupation

Current Home Insurance

I currently have a home insurance policyYes(if checked, please fill out the rest of this section)

Insurance Company

Coverage Amount

Renewal Date

# of Claims in the Last 5 Years

Home Information

Year Built

TypeBasic TractCustomStandardUpgraded/Remodeled

Stories1.5 (Split)12

ConstructionFrame or StuccoMasonryMasonry Veneer

FoundationBasementCrawl SpaceSlab

Age of Electric

Age of Plumbing

Age of Heating

Basic Interior Features

Living Space

# of Full Baths

# of Half Baths

# of Chimneys

# of Hearths

Additional Interior Features

Finished BasementCentral Air ConditioningSecurity System

Basic Exterior Features

Garage TypeAttachedBasementBuilt-InCarportDetached

Garage SizeSingleOne-CarTwo-CarThree-CarFour-Car

Roof TypeAsphalt ShingleTile or SlateWood ShingleOther

Roof Age

Additional Exterior Features

CheckboxDeckScreened-in PorchOutdoor Pool

Additional Information

CheckboxI'd like to have my jewelry covered

$

I have a dog

Breed/Mix

Optional Coverage

Appliance BreakdownEarthquakeFloodIdentity Theft

Comments

Comments/Additional Questions

715-835-1000

1717 Birney Street
Eau Claire, WI 54701

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