Ronn Hall Insurance & Notary Services 

 



                              
                 Property Insurance Quote
    


 
  You are requesting a California Home Insurance Quote
   

 

  Please fill out the questions below for an accurate quote.   
  We will email you a quote within one business day.    


  You can also call us 24 hours a day at:

   Office          (619) 449-8585  

   Toll Free       (877) 660-8585
  
   After Hours   (619) 670-8585  


 

Personal Information
     

 First Name               Last Name
 Address               Suite / Apt
 City               State       Zip Code  
 Home Phone               Work Phone
 Best time to call AM/PM

               E-mail

Property Information
Address to be insured
      

 Property
 Address    

Zip Code      
 Stories 1,2,3  #of Stories      Year Built  19xx - 20xx     
 Family 
 Units		 1,2,3,4 #of Units     Living Area  Sq Feet  (Home Only)   
 Full Baths # of full Baths     Half Baths  # of half Baths   
 Fireplaces # of fireplaces    Garages  # of Garages  
 Kitchens # of Kitchens    Roof Type Age of Roof 
      
                                   

 Current
 Home

 Insurance

  

  Claims in the

  Last 5 Years

 Yes  
No
   

 Type of  Property 

   Primary Residence

 
  Estimated $ Value of Home    

  
  Rental Property

         Your  Floors                                                   
             Floor total must = 100%                                                  

 
 Hardwood      Vinyl    
 Wall to 
 Wall		  % Average       Parquet/Prego        
 Wall to 
 Wall		  % Deluxe    Slate    

 Carpet 
 over wood  

  % Average       Tile % Average Quality  
 Carpet 
 over wood		  % Deluxe    Tile % Deluxe  Quality  
 Marble  Not vinyl    Brick    
 Terrazzo      Stone    

Floor total must = 100%                                  

 
 
 Other 
 Information 
 to Include.		   How were
  you referred		  
                 
   By clicking the Submit button I have Reviewed the Privacy Statement and Understand that this
   is only quote information and does not constitute a binder of coverage or proof of Insurance in any form,
   or does it guarantee insurance. All Coverage's are subject to the terms and conditions contained
   in the policy and endorsements.  I agree the above information is  true and factual. Insurance  will not begin until 
   I sign and make a down payment on the insurance Application.   

             This is not a binder or proof of Insurance.		  


                                               

                Please Read Auto Insurance Disclosure Statement below
By clicking the submit button I agree with the statements and privacy statement and agree to with all terms and conditions.    
    As part of the application process, Our Insurance Co. may collect personal information from
   Persons other than you or other individuals proposed for coverage, including credit reports for
   certain types of policies,  loss information reports and other reports.  We will also inspect your home
   for brush and condition. This information, as well as other personal or privileged information
   subsequently collected by us, may in certain circumstances be disclosed to third parties without your
   authorization. This is a condensed version of the Home Disclosure statement.. 
   
   You have a right of access a full version and correction with respect to al personal information we collect.
   If you would like more detailed information in writing about our information collection practices, 
   please let us know    
    

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  Ronn Hall Insurance Services  
  Copyright © 2001 
  [Ronn Hall.com] 
  All rights reserved.  
  Revised: January 14, 2008

  CA License # 0723568


 

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