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(810) 664-8574
info@kcinsurancelapeer.com
(810) 664-7334
359 W Nepessing St. Ste A Lapeer, MI 48446

(810) 664-8574
info@kcinsurancelapeer.com
(810) 664-7334
359 W Nepessing St. Ste A Lapeer, MI 48446

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Contact Us
Car Insurance

HOMEOWNERS INSURANCE QUOTE REQUEST

Full Name

Birthday

Email

Phone

Address

Spouse Full Name (If Applicable)

Spouse Date of Birth (If Applicable)

Previous Address (If at current less than 1 year)

Are you a credit union member?

Yes No

Insurance billed to escrow account? (If Applicable)

Yes No

Do you have a mortgage?

Yes No

Style? (ranch, 2 story, cape cod)

Year Built?

Framed or Manufactured?

Square Feet of Living Space?

Woodstove?

Yes No

If yes to woodstove, indoor or outdoor?

Indoor Outdoor

If yes to woodstove, professionally installed?

Yes No

Basement?

Yes No

Finished Basement? (If Applicable)

Yes No

Walkout Basement? (If applicable)

Yes No

Siding?

Vinyl Brick Other

Attached Garage?

Yes No

Size of Garage (If applicable)

Pond?

Yes No

Recreational Use of Pond? (If applicable)

Yes No

Pool?

Yes No

If yes to pool, inground or above?

In-ground Above-ground

If yes to pool, is it fenced in or have a locking gate??

Yes No

Any pets? If dogs, list breeds.

Dog Bite History? (If applicable)

Yes No

Any Updates to Home? (Roof, Furnace, Wiring, Electrical)

Type of Heat In Home

Type of Roof?

Shingle Metal

Current Insurance Carrier

Current Renewal Date

By clicking request quote you are agreeing to the terms & conditions provided by the company. By providing your phone number, you agree to receive text messages from the business.

Comprehensive protection for every part of your life.

Proudly serving Lapeer and the surrounding communities with trusted insurance solutions since 2005.

(810) 664-8574
info@kcinsurancelapeer-com.preview-domain.com
(810) 664-7334
359 W Nepessing St. Ste A Lapeer, MI 48446

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