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IMPORTANT PLEASE READ
The purpose of this web site is to help you gain a better understanding of insurance in general. It is not the purpose of this web site to replace any insurance policy or in any way diminish the importance of reading and understanding any policy purchased through Mc Knight Insurance Agency. The policy always takes precedence over anything stated or not stated on this web site.

 

Homeowner's Information:

Your Name:


Spouse's Name:


Mailing Address, City, State Zip:


Premise Address, City, State Zip

Year Built:


Number of Stories:


Foundation Type:


Basic Shape of Home:


Type of Garage:


Size of Garage:

Number of Bedrooms:


Number of Bathrooms:


Number of Half Baths


Ground Floor Square Ft:


 Bedrooms with Private Baths
Wood Burning Stoves
Finished Attic
Finished Basement
Covered Porch
Unfenced Pool
Fenced Pool
Air Conditioner
Air Humidifier
Bathroom Heater
Garage Door Opener
Intercom
Refrigerator
Skylight
Microwave

 Garbage Disposal
Interior Sprinkler System
Sauna
Range Hood
Ceiling Fan
Central Vacuum
Countertop Range
Hot Tub
Oven
Security & Fire System
Wet Bar
Jetted Tub
Dishwasher
Solar Hot Water Heater
Built in Dryer

Please Check Roof Type

Architectural Shingles
Corrugated Steel
Rubber
Wood Shakes
Clay, Tile or Slate
Mineral Fiber Shakes
Tar and Gravel
Wood Shingles
Concrete Tile
Rock
Wood Fiber Shingles
Asphalt Shingles

Check all rooms that apply
and are over 70 Sq. Ft.

Den
Foyer
Recreation Room
Game Room
Library
Sunroom
Formal Dinning Room
Laundry Room
Study
Grand Room
Sewing Room
Family Room
Office
Exercise Room
Great Room
Studio
Other


 

 

   


 
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License# OB84591

Copyright © 2005 Mc Knight Insurance Agency   -  115 North Court Street, Visalia, California  93291 

Toll-Free 866-220-6909 | Local 559-732-9320

Web Pages/Graphics By: TFC W.D.