Maloy Insurance Agency, Inc

Home Quote

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

Legal Name & DOB

Email Address

Phone Number

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

Is this your Primary Address?

Is this Property Rented to Others?

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

Is This your Primary Residence?

Who is the Primary Named Insured?

Does the Property Currently Have Insurnace?

Year You Purchased The Home?

Marital Status

Occupation & Degree (Possible Discount)

Is there a Pool on the Property? If so, s it Fenced?

Is There a Trampoline on Property?

Is the Home Currently Being Remodeled?

Foundation Type

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

# of Claims in Last 5 Years

Preferred Method of Contact - Phone/Text/Email

Drivers License # & State Issued -(Optional)

Auto Vin # (To look at Bundling Options)

Address

Line 1

Line 2

City

State

ZIP code

Country

Are you Interested in Saving Money by bundling?

Mailing Address (If Different From Primary)

Message - You Can Use This Space to List Your Current Coverages or Any Other Information.

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Protect Your Home Against All Perils

Discover a range of comprehensive coverage plans tailored specifically to meet your unique needs. Safeguard your valuable assets with the expert and personalized service offered by Maloy Insurance Agency, Inc.