The Lavin Insurance Agency
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Home
About
Preferred Realtors
Preferred Mortgage Brokers
Helpful Links
Legal
Privacy
Contact
Request a Certificate
Request Policy Change
Update Policy Info
Proof of Insurance
Products
Auto Insurance
Home Insurance
Life Insurance
Renters Insurance
Umbrella Insurance
Business Insurance
Commercial Liability
Contractor Insurance
Commercial Auto
Surety Bonds
Quotes
Auto Quote
Home Quote
Life Quote
Renters Quote
Umbrella Quote
Business Quote
Commercial Liability
Contractor Quote
Commercial Auto Quote
Request a Surety Bond
Homeowners Insurance Quote
Name
*
Email
*
Phone
*
Address
*
City
*
State
*
Zip Code
*
Age
*
Martital Status
*
Please Select
Single
Married
Number of Claims in Last 3 Years
*
Current Insurance Company
*
Current Value of Home
*
Contents Coverage
*
Year Home Built
*
Square Feet
*
Home Style
*
Please Select
One-Story
Two-Story
Tri or Split-Level
Other - see comments
Type of Garage
*
None
Attached
Detached
Car Port
Garage Size
*
1 Car
2 Car
3 Car
More than 3 car garage
Number of Full Bathrooms
*
1
2
3 or more
Number of 1/2 or 3/4 Baths
*
1
2
3 or more
Type of Roof
*
Flat
Asphalt Shingle
Wood Shingles
Steel
Other - see comments
Exterior Wall
*
Frame
Brick
Wood Siding
Aluminum/Vinyl Siding
Other - see comments
Fireplace
*
Yes
No
Deck
*
Yes
No
Patio
*
Yes
No
Pool
*
No Pool
Above-Ground Pool
In-Ground Pool
Deadbolts on all doors
*
Yes
No
Smoke Alarms
*
Yes
No
Fire Extinguisher
*
Yes
No
Monitored Security System
*
Yes
No
Comments
*
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