Auto Insurance
Premier
U
S
A
A Service of Premier Underwriter Service Agency
Fast, Free Home Owners Insurance Quotes
Please enter your information below. All information provided will be kept safe and secure and will only be used to provide you with quotes.
Property Type:
Single Family Home
Multi Family Home
Duplex
Mobile Home
Townhome
Condominium
Manufactured Home
Construction:
Wood Frame
All Brick
More than 50% Brick
Metal Frame
Stucco
Other / Not Sure
Foundation:
Concrete Slab
Piers Piling Stilts
Basement
Crawl Space
Other / Not Sure
Roof Type:
Asphalt Shingle (Most Common)
Wood Shingles
Tile Shingles (Spanish Style)
Metal
Other / Not Sure
Electrical System:
Circuit Breakers
Fuse Box
Other / Not Sure
Security System:
None
Sound in Home Only
Signals Monitoring Company
Garage Type:
None
Attachetd Carport
Detached Carport
Attached 1 Car Garage
Attached 2 Car Garage
Attached 3 Car Garage
Stories:
1
1 1/2
2
3
4
Bedrooms:
1
2
3
4
5
Bathrooms:
1
1 1/2
2
2 1/2
3
Property Address:
Property Zip Code:
Year Built (Ok to estimate):
Square Feet:
(ok to estimate)
Please select the features of this property:
Deadbolt Locks
Manned Fire Station within 5 miles
Central Air Conditioning
In-ground Swimming Pool
Covered Deck
Smoke Detectors
Fire Hydrant w/in 1000 ft
Woodburning Stove
Swimming Pool is Fenced
Uncovered Deck
Fire Extinguisher
fireplace
Copper Water Pipes
Smoker in Household
Indoor Sprinklers
How much coverage do you want (Example: 200000)?
What deductible do you want?
500
1000
2500
5000
How much liability coverage do you want?
$100,000
$300,000 ( Most Common)
$500,000
$1,000,000
Are you primarily interested in flood insurance?
No
Yes
Are you primarily interested in earthquake insurance?
No
Yes
Is this property a new purchase?
No
Yes
What is your date of birth?
What is your gender?
Male
Female
How would you rate your credit history?
Poor
Average
Good
Excellent
Have you made any home insurance claims in the past 3 years?
No
Yes
Have you had insurance within the last 30 days?
No
Yes
First Name
Last Name
Address
City
State
Missouri
Colorado
Zip Code
Day Phone
Evening Phone
Email
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All letters are lowercase.
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