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 Insurance Services   

    Quote:  Property Insurance

If you live in the Lexington/Fayette County (KY) area, or are planning to move here, just fill in this simple form. We'll be glad to contact you at a convenient time to discuss your needs.
  

Please Note:
We can only quote insurance rates if you live in the
Lexington/Fayette County, KY area. 

For Automobile Insurance, please click here.

This information for use by KFB only.

Name: 
Proposed insurance address:
Street: 
City:    State:   Zip:
How long at this address? years    months
If less than 3 years at the address above, please indicate current/previous address:
Street: 
City:    State:   Zip:
Phone:
(888-888-8888)
Home:
 Work:
 		Cell:
E-mail Address:     D.O.B.: mm/dd/yy
Ever had insurance cancelled or refused by any company? No   Yes

If yes, please provide date and details:
Previous claims or losses? No   Yes

If yes, please describe:
  Purchase price /
Coverage amount:
 Closing /
Renewal date:
 mm/dd/yy		 Loan
Amount:
 
Construction: Brick  Frame  Brick Face        Year built: 
Pool? No   Yes
Square Footage: Total:    1st Floor:   2nd Floor:  
Basement: Finished   Unfinished
Built-ins (jetted tub, skylights, etc.):     # of Bathrooms:
Type of heat: Gas    Electric
Garage: Attached   Detached   Basement
1-car  2-car
Other: Porch   Screen Room   Deck  
2-Story Deck   Covered Deck
Fireplace: None   Masonry or prefab  
Fireplace insert   Wood-burning stove
Do you have a dog? No   Yes
   If yes: What breed?  
Ever bitten anyone?  No   Yes
Do you have jewelry valued at over $1000? No   Yes
Is this a rental property? No   Yes
 

 
 
For Automobile Insurance, please click here.

This request is not an application, contract, or binder of coverage. An application must be completed and signed and premium paid by you before coverage is binding. All coverages are subject to the terms and conditions contained in our policies and endorsements.