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Please answer each question as accurately as possible.

Step 1 of 4. CONTACT INFO
 
First Name
Last Name
Email
Birth Date
Best Phone Number
Phone Type
NEXT.. 2 of 4

Step 2 of 4. TERMS & LOCATION
 
Home Manufacture Year
New Policy Start Date
Current Policy Expiration Date
Zip Code
County Name

Select a Zipcode Above

Location Street Address
Location City
NEXT.. 3 of 4
Step 3 of 4. HOME DETAILS
(GO BACK TO SECTION 2)
 
Home Type
Length
Width
Siding Type
Is your home Fully Skirted?  ? 

CLOSE

Skirting helps to protect the underneath of your manufactured home
Is your home Tied Down?  ? 

CLOSE

Tie down straps keep your manufactured home secure from strong winds.
Roof Type
Home Use
Is the home located in a Planned Manufactured Home Community or Park?
If yes, Park Name

(Florida only) Windzone Rating

Do you own the land the home is on?
Spaces In Park
Please select all that apply to your manufactured home
How many miles from a fire department?
Is the home on a permanent foundation?
Currently Insured?
Value Of Current Homeowner Insurance Policy or Purchase Price of Home
Have you had any claims on your home in the last five years?
           
Purchase Date
NEXT.. 4 of 4
Step 4 of 4. COVERAGES
CLICK HERE FOR MORE INFORMATION ABOUT OUR COVERAGES
Dwelling Limit (Cost of Home only)
Personal Effects (typically 40% of Dwelling Limit)
Adjacent Structures (tool shed, fencing, etc.)
Would you like insurance to insure your Personal Items at Replacement Cost?
Deductible
Personal Liability Coverage Limit
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