Home Insurance Quote

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Quick Quote

Building Information

Type of Home *
Year Built
Square Footage
Construction Type *
Primary Heating *
Foundation *
Bedrooms *
Roof Type *
Bathrooms *
Roof Age *
Stories *
Garage Type *
Select any additional property features that apply.
Is your home located in a flood plain?
Security System
Municipal Location
Fire Alarm
Do you have any of the following breeds of dogs: Chow, Doberman, German Shepherd, Pit Bull, Rottweiler, Wolf Hybrid, or a mix of these?

Policy Information

Approximate Replacement Cost of Dwelling (not including land) *
Personal Liability Coverage Desired *
Desired Deductible *
When would you like this policy to start? *
Have you reported any claims or losses to your insurance company within the past 5 years?
Will this insurance replace an existing policy?
Credit Rating

Contact Information

First *
Last name *
Email *
Phone Number *
Additional Comments? *

Address 

Line 1
Line 1
City
State
Zip Code
Country
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PHT Insurance Services
914-201-9303
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