DAGGETT
HOMEOWNERS   INSURANCE

 

    

    

    

    

    

    

   

   

   


#1 Best Price on Home Insurance!

To get a quote on automobile insurance please call 315-253-9900 or use the form below.

Name:

Property address:
Property address (line 2 if needed):
City:
Zip Code
State:
(Our agency can only sell insurance in the state of New York)
Phone Number:
E-Mail Address:
Year house was built:
Purchase price:
Current home insurance:
Policy number:
Expiration date of current policy:
Type of dwelling: Single Family
Duplex
Triplex
Four-plex
Number of floors 1   2   3   4   
Total living space in square feet:
(Not including garage)
Garage: Attached Garage
Detached Garage
No Garage

Size of garage: 
1 car   2 car   3 car   4 car  

If detached, what is the cost of the garage?

Basement: The house has a full basement.
The house has a half basement
The house does not have a basement

Is the basement finished or unfinished?
The basement is finished.
The basement is not finished.

What is the square footage of the basement?

Age of the roof:
Year roof was replaced:
Full Replacement 
Partial Replacement
Type of roof: Shingle
Clay Tile
Wood Shake
Metal
Slate
Rubber
Age of the furnace:
Year furnace was replaced:
Full Replacement 
Partial Replacement
Type of heat: Gas
Electric
Hot Water Heat
Propane
Is there a wood burning stove? Yes
No
If yes, was it professionally installed? 
Yes
No
Is there a fireplace? There is no fireplace
There is a working fireplace
There is a non-working fireplace
Does the fireplace have an insert?
Yes
No
Age of the wiring:
Year wiring was replaced:
Full Replacement 
Partial Replacement
Age of the plumbing:
Year plumbing was replaced:
Full Replacement 
Partial Replacement
Do you have any dogs? Yes
No
If yes, what breed(s)?

Do any of the dogs have a history of biting?
Yes
No
Is there a pool? Yes
No
If yes, Is there at least a 3 foot fence, with a locked gate, around the pool?
Yes
No 
Is there a diving board or a slide on the pool?
Yes
No
Is there a trampoline? Yes
No
Is there a hot tub? Yes
No
Is there a security system? Yes
No
Are there any smoke detectors? Yes
No
Is any business conducted at the house? Yes
No
Do you smoke? Yes
No
What fire district is the home in?
How many feet is it from the home to the nearest fire hydrant?
How many miles is it to the nearest fire department?
How many kitchens does the house have?
How many living rooms does the house have?
How many bedrooms does the house have?
How many full baths does the house have?
How many half baths does the house have?
How many dens does the house have?
How many recreation rooms does the house have?
Is the recreation room finished?
The recreation room is fully finished
The recreation room is partially finished
The recreation room is not finished
How many mud room or laundry rooms does the house have?
How many decks or patios does the house have?