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Lewis, Hopkins & Williamson, Inc.
43 Dougherty Blvd.
Glen Mills, Pennsylvania 19342



610-358-3805 (Glen Mills)
610-696-4515 (West Chester)

E-mail:
lhandw@lhandw.com

Your home is probably your most valuable physical asset and needs to be adequately insured. With all the options available, however, homeowner’s insurance can be a little confusing and confusion causes many people to underinsure their homes. We can help you compare various types of coverage from multiple underwriters to find the best, most affordable policy for you.


If you would like to receive a quote on

Name:

Occupation:

Date of Birth:

Co-Applicant Name:

Date of Birth:

Address:

Location of Property:

Contact Numbers

Home:

Work:

Cell:

Effective Date of Policy:

Market Value:

Dwelling Amount:

Deductible:

Current Insurance Company:

Liability Amount:

Mortgage Amount:

Escrowed:

Dwelling/Single or Row:

Feet to Fire Hydrant:

Miles to Fire Department:

Home Construction:

Year Built:

Square Footage:

Flat Roof?

Basement:

Garage:

# of Cars:

Porch Square Footage:

Patio Square Footage:

Deck Square Footage:

How Many Floors?

# of Baths:

# of Half Baths:

Heat:

Fireplace:

Central Air:

Smoke Alarm:

Location of Smoke Alarm:

Burglar Alarm:

Location of Burglar Alarm:

Swimming Pool:

Diving Board:

Dog:

Breed of Dog:

Year of Renovations

Wiring:

Heat:

Roof:

Plumbing:

Any Losses in the Last 3 Years?

Prior Insurance Company:

Mortgage Company:

610-358-3805 (Glen Mills)

610-696-4515 (West Chester)

43 Dougherty Blvd.
Glen Mills, PA 19342

blueExtend.jpgblueExtend.jpgProctect your family's greatest asset by contacting LHW today.

homeowner’s insurance, please fill out the form below. We will review it and get back to you as soon as possible.

Homeowner’s Insurance Questionnaire


LEWIS, HOPKINS & WILLIAMSON, INC.

A Trusted Insurance Agency

Our Family Can Save Your Family Money


AUTO * HOME * LIFE * BUSINESS * HEALTH

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