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866-590-8689


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Lehn and Vogt Insurance and Financial Group
Lehn & Vogt Insurance
2980 S McCall Rd Suite E
Englewood, FL 34224
Map/Office Directions

Phone: 866-590-8689
Fax: 941-698-8895


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  Florida home insurance quotes    

« Online Quick Quote »
Home Insurance Quotation Form
One Simple Form - takes only 2-3 Minutes!


Your Personal Data:
 
Your Name:
Property Address:
City:
Your "County" is?
State (Must be Florida):
Zip/Postal:
E-Mail (REQUIRED):
E-Mail again for accuracy:
Phone:
Fax (optional):
 
Primary Policyholder's Birthdate:
(REQUIRED - Some companies products
offer discounts for certain age groups.)
 
 
Dwelling Information
 
Year Home Built:
Home Square footage:
 
Number of units: 1 family Duplex
 
Type foundation: Slab
Crawlspace over slab
Other (list in remarks)
(If basement, what % is finished?)
% FINISHED
 
Type Construction: Frame
Brick/Veneer
Stone
Other (list in remarks)
 
Type Roof: Shingle
Wood Shake
Tar/Gravel
Spanish Tile
Metal Other
 
Number of stories: One 1.5
Two Three
 
Do you own animals or pets? Yes No
If yes, list type/for dogs, list breed:
 
Does Home Have a Garage? Yes No
Tell whether built in, detached/attached, and how many cars?
 
Alarm System? Local
Monitored
None
 
Currently Insured? Yes No
Name of Carrier & how long insured?

# Bedrooms: # Baths:
 
Special features
(i.e., deck, pool, outbuildings, etc.)
 
Coverages:
 
Dwelling Cov. $ Contents $
Liability Cov. $
 
Comments/Remarks
(describe any scheduled jewelry, in-home business, oil tank location, or other special coverages/remarks here):
 

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