Back HO-6 In Florida for Vacation home

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Market Requests

T
TUCKER Mar 20, 2007 10:41 AM
I am looking for a market to write an H0-6 for a vacation/second home in Florida. Address is 7601 E. Treasure DR North Bay Village, FL 33141-4391 Please, help
L
ledelman Mar 20, 2007 12:45 PM
Please forward application & we will be able to get it done. ledelman@afgins.com
N
NWMRKTS Mar 20, 2007 1:22 PM
I am looking for a market to write an H0-6 for a vacation/second home in Florida. Address is 7601 E. Treasure DR North Bay Village, FL 33141-4391 Please, help
Hello Tucker, Pls fill out the following form and either e-mail or fax back. Thank you. Joe Cruz 239. 455-6605 J I Cruz Insurance Agency 3888 Mannix Drive, Suite 320 Naples, FL 34114 Phn: 239. 455-6605 Fax: 239. 455-2129 jcruz@allstate.com Homeowners Insurance Quote Form Date: ____________________ Renewal _____ New Purchase _____ Refinance _____ Primary _____ Secondary_____ Rented to Others _____ Condo _____ Renters _____ E-mail Addresses: Name______________________________________ DOB_____________ SS#__________________ Optn_______ Name______________________________________ DOB_____________ SS#__________________ Optn_______ Subject Address _______________________________________________________________________________ Mailing Address ________________________________________________________________________________ Home # _________________________ Cell # __________________________ Office # ______________________ Usage: 2dary:Length/Frequency______________________ Seasonal/How Long ______________ Rented _______ Year Built ____________ Construction Material ________________________ Roofing Material _________________ Roof Geometry ______________ Total # of Floors _______ Subject Floor ________ 2nd Floor Material ___________ #BR ______ #BA ______ # Car Garage (Attached/built-in) ____________________ SF Under Air ______________ Pool _____ Lanai/Fenced________ Monitored Alarm/Co_____________________ Hurricane Shutters/Cert________ Gated _______ Distance to Fire Station ________ Distance to Fire Hydrant _________ Protection Class ________ BCEG Code ________ Animals _____________________________________________ Current Coverages: Dwelling ___________________ Content ____________ AOP Ded ________ Wind Ded ______ Premium _______ Present Ins Co ____________________________________ Policy No. __________________ Exp Date _________ Past Claims (Dates/$) ___________________________________________________________________________ New Purchase: Closing Date _________________ Mrtge Broker/Company/Phn __________________________________________ Mortgagee Clause ________________________________________________________________ Escrowed? ____ _____________________________________________________________________________________________ Loan # ______________________Referred by/Co _____________________________ Phone _________________ Title Co ___________________________________ Contact _____________________ Phone _________________

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