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Current Clients Are Paying!
satisfied florida home insurance customer testimonial from Ranch Ins.com
$250,000 Home Coverage,
ONLY $655.00 PER YEAR!
$250,000 homeowners coverage on
Bradenton, FL Home, Built in 2015,
$1000 policy deductible.
2% Hurricane Deductible.



satisfied florida home insurance customer testimonial from Ranch Ins.com
$250,000 Home Coverage,
ONLY $762.00 PER YEAR!
$250,000 homeowners coverage on
Sarasota, FL Home, Built in 2015,
$1000 policy deductible.
2% Hurricane Deductible.



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Your Name:
Property Address:
City:
State (Must be Florida):
Zip/Postal:
E-Mail (REQUIRED):
E-Mail (again for accuracy):
Phone:
Fax (optional):
 
Dwelling Information
Year Home Built:
 
Home Square footage:
 
Flood ZONE NUMBER:
(look on current policy, if any)
 
Flood COMMUNITY NUMBER:
(look on current policy, if any.)
 
Number of units: 1 family Duplex
3 Family 4 Family
 
Type foundation: Slab Crawlspace over slab
Pier & Post Other (list in remarks)
 
Type Roof: Shingle Wood Shake
Tar/Gravel Spanish Tile
 
Number of stories: One 1.5
Two Three
If more than 1 story, are some contents on ground floor, contents ONLY above the first floor? On ground floor
Above first floor only
 
Currently Insured? Yes No
Name of Carrier & how long insured?
Prior Claims? Yes No
Describe claims in detail:
 
Plumbing type: Copper Galvanized
Mixed (Copper/Galvanized)
 
Circuit Breakers or fuses? Breakers Fuses

# Bedrooms: # Bathrooms:
 
# Fireplaces: # Chimneys:
 
Special features
(i.e., deck, air conditioning, alarm systems, pool, etc.)
 
Coverages:
Dwelling Cov. $ Contents $
Deductible $
($250, $500, $1,000, etc.)
 
 
Comments/Remarks:
 
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Ranch Insurance Services | 11161 State Rd. 70 E, Unit 111 (Publix Plaza across from Earth Fare) | Bradenton, FL 34202
Toll Free: 844-557-1632 | Local Phone: 941-216-4393
Map/Driving Directions | Fax: 941-216-4399 | Email Us at: contact@ranchins.com

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