Texas Home Owners Insurance, Cheap Home Insurance In Houston Texas, Home Owners Insurance Houston Texas, The Paul Thordsen Insurance Agency 25319 Wingfield Lane, Spring Texas 77373, Serving Houston Texas, Dallas, San Antonio, Fort Worth, Austin, Humble, Katy, Cypress, Spring, The Woodlands, Conroe, And All Of Texas,
 
 Texas Home Owners Insurance, Cheap Home Insurance In Houston Texas, Home Owners Insurance Houston Texas, The Paul Thordsen Insurance Agency 25319 Wingfield Lane, Spring Texas 77373, Serving Houston Texas, Dallas, San Antonio, Fort Worth, Austin, Humble, Katy, Cypress, Spring, The Woodlands, Conroe, And All Of Texas, Texas Home Owners Insurance, Cheap Home Insurance In Houston Texas,
Home Owners Insurance Houston Texas, The Paul Thordsen Agency
Texas Home Owners Insurance, Cheap Home Insurance In Houston Texas, Home Owners Insurance Houston Texas, The Paul Thordsen Insurance Aency 25319 Wingfield Lane, Spring Texas 77373, Serving Houston Texas, Dallas, San Antonio, Fort Worth, Austin, Humble, Katy, Cypress, Spring, The Woodlands, Conroe, And All Of Texas,
Paul Thordsen, LUTCF
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The Paul Thordsen Insurance Agency 25319 Wingfield Lane, Spring Texas 77373, Serving Houston Texas, Dallas, San Antonio, Fort Worth, Austin, Humble, Katy, Cypress, Spring, The Woodlands, Conroe, And All Of Texas,
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Telephone 281-353-8992
Toll Free 1-888-275-9840


25319 Wingfield Lane
Spring, Texas 77373

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Disclaimer
I understand that this does not constitute an actual "live" online quote, but is rather a submission of information to The Paul Thordsen Insurance Agency so that they may put together an insurance proposal (quote) for the above titled risk. There is no obligation on my part to purchase this insurance, and I understand that this online submission does not constitute a statement or contract for insurance.

 I have read and agree with the above disclaimer.
  (Box must be checked before request can be sent)

Personal Information
Applicant's Name:
Address:
City:   State:   Zip:
Day Phone:   Night Phone:
Best Time To Call:   AM   PM
Email Address:

 

Applicant & Location Information
 
Age:
Marital
Status:
S
 
Occupation:
Spouse's
Occupation:
Territory
Code:
Protect
Class:
Fire District/
Code #:
Location of Property
(if different from above):

Additional Location
Dwelling
Type(s):
Construction
Type(s):
# Families
(in each):
Other:

 

Coverages
Please indicate additional property that is not listed in boxes 10-14
#
Property
Amount of Ins.

#
Property
Amount of Ins.
  1 Jewelry $ 8 Coins $
2 Furs $ 9 Golfer's Equipment $
3 Fine Arts $ 10 $
4 Cameras $ 11 $
5 Musical Instruments $ 12 $
6 Silverware $ 13 $
7 Stamps $ 14 $
Unattended Car Coverage (Stamps/Coins)
Broad Form Pair & Set Coverage
Non-Mobile Organ Coverage
Safe Credit (Identify Property, Safe Class)
ACV Loss Settlement
Replacement Cost Loss Settlement
Breakage Coverage (*On Schedule)
Blanket Coverage
Additional Rating Information

 

General Information
Explain All "Yes" Responses in Remarks
Yes/No

Explain All "Yes" Responses in Remarks
Yes/No
1. Any protective devices/systems in use? Y
N
6. Any other insurance with this company? Y
N
2. Will any property be exhibited? Y
N
7. Did any loss occur during the last 3 years? Y
N
3. Will any special restriction/ endorsements apply? Y
N
8. Any coverage declined, cancelled or non-renewed during the last 3 years? Not applicable in MO Y
N
4. Will any type of deductible apply? Y
N
Prior Insuror & Policy Number
5. Is any property used professionally/ commercially? Y
N
Remarks

 

Schedule of Property
#
Provide a detailed description of each item, from whom purchased, etc. Be sure to forward all required appraisals/bills. Purchase/
Appraisal Date
Amount of Insurance
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Please use the "Additional Comments" section at the bottom of this form for any additional entries.

 

Additional Comments
Please give any additional comments you feel appropriate for this quotation. If you
have additional information where there was not enough fields above, such as
additional coverages, schedule of property, etc..., please enter them here.


Before Submitting Your Information...
I understand that all of the above information MUST BE COMPLETED in order to obtain an Insurance Quote. Paul Thordsen Insurance Agency Will be unable to provide me an insurance quote if any fields above are left blank or are partially filled in. PLEASE re-check your information before submitting!

 I have read and agree with the above disclaimer.
  (Box must be checked before request can be sent)

Please click on the "Submit Quote" button to send your quote request.
One of our representatives will respond to your submission as soon as possible.

   

Please read this disclaimer: This internet site provides information of a general nature for educational purposes only and is not intended to be legal and or financial advice. We make no guarantees as to the validity of the information presented. Your particular facts and circumstances, and changes in the law, must be considered when applying insurance law. You should always consult with a competent financial planner, attorney, or insurance professional licensed in your state with respect to your particular situation. Texas Home Owners Insurance, Cheap Home Insurance In Houston Texas, Home Owners Insurance Houston Texas, The Paul Thordsen Insurance Agency 25319 Wingfield Lane, Spring Texas 77373, Serving Houston Texas, Dallas, San Antonio, Fort Worth, Austin, Humble, Katy, Cypress, Spring, The Woodlands, Conroe, And All Of Texas,

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