Alexander Insurance Agency
Get a Quote: (830) 663-2842
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(830) 663-2842
112 Texas 132
Devine, TX 78016
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Type of Home
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Single Family Home
Duplex
Townhome
Mobile Home
Other
Year Built
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Construction Type
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Mostly Wood Frame
Mostly Brick
Stucco
Other
Foundation
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Bsmt Fully Finished
Bsmt Half Finished
Bsmt Unfinished
Crawlspace
Slab
Other
Roof Type
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Asphalt Shingle
Tile
Concrete
Other
Roof Age
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Under 5 Years
5-10 Years
Over 10 Years
Garage Type
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Attached - 1 Car
Attached - 2 Car
Attached - 3 Car
Attached Car Port
Detached - 1 Car
Detached - 2 Car
Detached - 3 Car
Detached Car Port
No Garage
Other
Fire Alarm
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None
Monitored
Unmonitored
Not sure
Square Footage
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Primary Heating
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Gas (Forced Air)
Electric
Hot Water Radiator
Oil/Coal/Karosene
Propane
Stove
Bedrooms
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1
2
3
4
5
6
7+
Bathrooms
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1
1.5
2
2.5
3
3.5
4+
Stories
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One Story
Bi Level
Two Story
Tri Level
Other
Security System
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None
Monitored
Unmonitored
Unsure
Municipal Location
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Inside City Limits
Outside City Limits
Not Sure
When would you like this policy to start?
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Select any additional property features that apply.
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Dead Bolts
Fire Extinguishers
Tramploline
Covered Deck/Patio
Swimming Pool
Have you reported any claims or losses to your insurance company within the past 5 years?
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Yes
No
Is your home located in a flood plain?
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Yes
No
Not Sure
Do you have any of the following breeds of dogs: Chow, Doberman, German Shepherd, Pit Bull, Rottweiler, Wolf Hybrid, or a mix of these?
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Yes
No
Approximate Replacement Cost of Dwelling (not including land)
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Personal Liability Coverage Desired
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$100,000
$300,000
$500,000
$1,000,000
Other
Desired Deductible
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$250
$500
$1000
$2000
Other
Will this insurance replace an existing policy?
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Yes
No
Credit Rating
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Excellent
Good
Poor
Unsure
Name
*
First
Last
Email
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Phone Number
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Additional Comments?
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