(972) 926-5355 Forney, TX

TWFG ~ Burridge Family Insurance

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Property Location Under Construction

Address

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Address

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Insurance Information

Deductible Desired

Amount of Liability Desired

Hurricane Coverage Desired?
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Earthquake Coverage Desired?
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Windstorm Coverage Desired? (not applicable in all states)
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Dwelling Information

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Square Footage

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1 Story
1.5 Story
2 Story
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Type of Construction
Wood
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Other Home Features (check all that apply)

Dead Bolts

Fire Extinguisher

Located within 5 miles of Fire Station

Located 1000 feet from Fire Hydrant

Home Located within City Limits

Claims

Date of Claim

Amount Paid

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Description

Note: Coverage Can Not Be Bound Changed Or Deleted Via Electronic Message

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TWFG ~ Burridge Family Insurance | 9550 Helms Trail, Suite 1500 | Forney, TX 75126 | (972) 926-5355

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