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Homeowners Insurance Quote


Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

Personal Information
First Name
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Last Name
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Street
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City
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State
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ZIP / Postal Code
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E-Mail Address
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Primary Phone Number
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Alternate Phone Number
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Date of Birth
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Social Security Number
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Current Information
Do you currently have insurance?
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Current Premium
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Current Insurance Provider
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Months With Company
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Current Policy End Date
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Dwelling Information
Year Built
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Roof Type
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Age of Roof
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Construction Type
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Type of Foundation
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Date of Original Purchase
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Number of families living in home?
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Number of bedrooms?
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Number of bathrooms?
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Liability Limit
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Deductible Amount
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Square Footage
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Estimated Value
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Dogs
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Pool
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Garage
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Trampoline
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Woodstove
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Heat Type
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Claims/Property Losses in Past 5 Years (Please Explain)
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How did you hear about us?
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Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.
First Insurance Group
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First Insurance Group
Main Office 2520 South Highway 27 | Somerset, KY 42501 | Phone: (606) 679-3570
Bardstown 107 Lincoln Way | Bardstown, KY 40004 | Phone: (502) 348-5921
Frankfort 1510 Louisville Rd | Frankfort, KY 40601| Phone: (502) 223-5100
Nicholasville 508 North Main St, Suite C | Nicholasville, KY 40356 | Phone: (859) 885-9454
Richmond 312 Jason Dr Suite 3 | Richmond, KY 40475 | Phone: (859) 623-6692
Glasgow 605A Happy Valley Road | Glasgow, KY 42141 | Phone: (270) 651-5723

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