Home Insurance

Let us quote your North Carolina home insurance! Please fill in this form and submit it to us. We will contact you by the end of the next business day with a quote.

For the best quote available, please allow us to quote your automobile insurance also.

General Information
*Name Date of Birth
*Address Social Security Number
*City
*State *Zip Code
*Prefer Contact By: Phone Email Fax
*Work Phone *Email Address
*Home Phone *Best Time to Call
*Fax
Property Information (if different from above)
Address
City State Zip Code
*Is Property a townhouse? Yes No *Is property a condo? Yes No
If so, how many units in your building?
*Residence Usage Primary Secondary
*Type of Construction
*Year Home Built
Protection Devices Installed
Smoke Detectors Dead Bolts
Fire Extinguisher Central Burglar / Fire Alarm
*Property within City Limits Yes No
If no.. Located within which fire district?
Distance in road miles to the nearest fire department.
Distance to nearest fire hydrant (in feet).
*Replacement Cost of Dwelling Yes No
*Replacement Cost of Contents Yes No
*Any claims on current homeowner insurance? Yes No
If so, when, and list the amount of each claim.
Coverage Information
*Dwelling Coverage Amount
*Liability Coverage Amount
*Deductible
*High Value Items
(Item, Value)
These are high valued items that need to be specifically identified, including jewelry, silverware, collectables, furs, etc.  Please list each item and its value.
How did you find out about Stan Taylor Insurance?
Questions or Comments?

This is a request for quotation only.
No coverage is in effect until bound by an insurance carrier.
In order to accurately quote your homeowners insurance, a credit check is required.
 

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 Contact Information -
3826 Bland Road
Raleigh, North Carolina 27609
Telephone : 919-781-5300
Fax : 919-787-1896
Electronic Mail : webmaster@stantaylor.com