Maloy Insurance Agency, Inc

Condo/Townhome Insurance Quote

The Maloy Insurance Agency Will Reach Out to You Shortly Regarding your Condo/Townhome Quote. Please note that this quote can be a Primary Policy or a Landlord Policy - Short or Long Term.

Primary Named Insured Full Legal Name

Email Address

Phone Number

Who is the Primary Named Insured?

Is This your Primary Residence?

Is there a Second Named insured? (if Yes put their Name and DOB)

Is this Property Rented to Others?

Year You Purchased The Home?

Does the Property Currently Have Insurnace?

Mailing Address (If Different From Primary)

Are You Responsible for the Entire unit or Just Walls In?

Year Condo/Townhome was Built

Roof Year & Type - (Metal, Tile, Shingle, Etc)

# of Claims in Last 5 Years

Foundation Type

Occupation & Dergree (Possible Discount)

Marital Status

Is the Condo/Townhome Currently Being Remodeled?

Address

Line 1

Line 2

City

State

ZIP code

Country

Are you Interested in Saving Money by bundling?

Preferred Method of Contact - Phone/Text/Email

Auto Vin # (To look at Bundling -Optional)

Drivers License # & State Issued -(Optional)

Is the Home in a Trust or Company? If yes, list it below.

Is there a Pool on the Property, Is it Fenced?

Is this your Primary Address?

Primary Named Insured DOB?

If You Have More Than One Vehicle Please list the Vin #' Here and The Message Box Below

Message - You can use this space to list your current coverages or any other information.

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Protect Your Condo/ Townhome Against All Perils

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