Skip to the content
Home Page
Insurance Services
Auto, Home, and Personal Insurance
Auto Insurance
Homeowners Insurance
Renters Insurance
Motorcycle Insurance
Boat & Marine Insurance
More
Business Insurance
Business Owners Package Insurance
Commercial Auto Insurance
Commercial Property Insurance
General Liability Insurance
Workers' Compensation Insurance
More
Life Insurance
Fixed Annuities
Final Expense Insurance
Individual Life Insurance
Mortgage Protection Insurance
More
About
Meet Our Staff
Customer Reviews
Our Insurance Carriers
Insurance Blog
Policy Service
Online Billing & Payments
File A Claim
Auto ID Card Request
Certificate of Insurance Request
Policy Change Request
Insurance Resources
Contact
Valdese Office
Lenoir Office
North Wilkesboro Office
Morganton Office
Murphy Office
Robbinsville Office
Secure Contact Form
Refer a Friend
Google Maps
Yelp
Facebook
LinkedIn
Instagram
Home
>
Home Insurance Quote
Call Us Today
(828) 874-2186
Home Insurance Quote
Personal Information
Name:
*
Address:
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone:
*
Email:
*
Are You Currently Insured?:
Yes
No
Current Insurance Information
Insurance Company Name (not agency):
Policy Expiration Date:
MM
DD
YYYY
Years Insured:
Premium Amount:
House Insured For:
Dwelling Information
Primary Residence?:
Yes
No
Type of Residence:
Select One
One Family
Two Family
Three Family
Four Family
Year Building Built:
Purchase Price:
Loan Amount:
Square Footage:
Construction Type:
Select One
Frame
Stucco
Vaneer
Masonry/Brick
Other
Number of Stories:
Select One
1
2
3
4 or more
Heating Type:
Select One
Central
Wall
Other
Type of Roof:
Select One
Composite Shingle
Tile
Wood Shake
Metal
Other
Age of Roof:
Select One
1-5 Years
6-10 Years
11-15 Years
Over 15 Years
Coverage Information
Personal Contents Amount:
Deductible:
Select One
$250
$500
$1,000
Family Liability Protection Amount:
Select One
$100,000
$300,000
$500,000
$1,000,000
Other Questions
Do you have an alarm system?:
Yes
No
Do you have any high value items? (jewelry, silver, furs, fine arts):
Yes
No
Would you like to package your autos into an insurance quote?:
Yes
No
Any Claims in the Past 5 Years?:
Yes
No
If Yes, Please Explain Claims:
Additional Comments or Questions
Email
This field is for validation purposes and should be left unchanged.