Texas apartment insurance from Apartment-Insurance-Texas.com
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Texas apartment insurance from Apartment-Insurance-Texas.com
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renters insurance quotes from Apartment-Insurance-Texas.com

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Rick Kellum,
Farmers Insurance
810 Highway 6 S. #260
Houston, TX 77079

 
E-Mail:
lori.rkellum@
farmersagency.com

Local Phone:
832-598-9680

Fax:
832-598-9685

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    Your Personal Data:
     
    Applicant's Name:
    Applicant's Date of Birth:
    (required for discounts)
    Property Address:
    City:
    State (Must be Texas):
    Zip/Postal:
    E-Mail (REQUIRED):
    E-Mail (again for accuracy):
    Phone:
    Fax (optional):
     
    Dwelling Information
     
    Year Dwelling Built:
    Home Square footage:
     
    # Units in common bldg.:
     
    Type Roof: Shingle Wood Shake
    Tar/Gravel Spanish Tile
     
    Number of stories: One Two
    Three 4+
     
    Do you own animals or pets? Yes No
    If yes, list type/for dogs, list breed:
     
    Are You Near Brush Area? Yes No
     
    # of feet to nearest
    fire hydrant:
    # of miles to nearest
    fire station:
     
    Currently Insured? Yes No
    Name of Carrier & how long insured?
     
    Prior Claims? Yes No
    Describe claims in detail:

    Special features
    (i.e., deck, air conditioning, alarm systems, pool, etc.)
     
    Coverages:
     
    Contents $ Loss of Use $
    Liability Cov. $ Deductible $
    ($250, $500, $1,000, etc.)
     
    Add Flood for Just a Few Dollars More? Yes No
     
    Comments/Remarks
    (describe any scheduled jewelry, in-home business, or other special coverages needed here):
     
    Send my quotation via: E-Mail Fax
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    Houston Texas Flood Rates:

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