Homeowners - Personal Property - Renters Insurance

  • Homeowners Insurance

  • Mobile Home Insurance

  • Renters Insurance

  • Umbrella Liability

Your residence, your cabin, or your recreational vehicle – these are your most valuable investments. Your treasured possessions need to be properly insured.

Let us help you by comparing plans and offering the best rates to provide the coverage you need and want.

Please remember, insurance cannot be placed into effect by completion of this information form. Insurance coverage is afforded only upon a written statement from the insurance carrier stating the terms, condition and dollar amounts of insurance.
* Required information

*Last Name:
*First Name:
*Address:
*City:
*State:
*ZIP Code:
*E-mail address:
*Daytime Phone:
Home Phone:
Mobile Phone:
Fax:
Social Security Number:
Date of Birth:
Please note, a consumer report will be done in conjunction with this. In order to do this we must have your social security number and date of birth. This information will be kept confidential and secure. Our firm will not have access to your credit information, only a consumer report score. If you agree to this, please provide social security number and date of birth.
Have you had continuous coverage for at least 12 months? Yes No
If not, why?  
Comments:
Present Insurance Company:
Present coverage Amount:
Renewal Date:
Is this your only home? Yes    No
Number of claims in the last 3 years:
Physical address of home:  
City:
State:
ZIP Code:
Year built:
Square footage of living space:
Type: 1-story 1½-story 2-story split level bi-level
Construction:Frame or Stucco Masonry Veneer Masonry
Foundation:Basement Crawl Space Slab
Roof: Asphalt Shingles Wood Shingles Tile or Slate Other
Age of roof:
Garage: 1-car 2-car 3-car 4-car
Attached Detached Basement Built-in Car port
Bathrooms (Full):1 1 2 3 4 5
Bathrooms (Half):1 1 2 3 4 5
Other Features: 
  Central Air Conditioning
  Wet Bar
  Security System
  Central Vacuum
  Whirlpool Tub
Fireplaces:         
Number of chimneys: 1 1 2 3 4 5
Number of hearths:1 1 2 3 4 5
Basement:Finished Yes   No Square footage
Deck, Porch, Patio:Deck square footage
  Porch square footage
Screened Patio square footage
Enclosed Porch square footage
List any size and construction of any unattached separated buildings, sheds, carports, etc.
Do you or does any person living in the dwelling conduct any business or conduct and money making, revenue generating type of hobby or operation?
Yes   No
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Frantzen Kaderli & Klier Insurance
108 Theodore Specht Drive
P.O. Box 513
Fredericksburg, Texas 78624

Hours: Weekdays, 8:00 a.m. to 5:00 p.m.
Saturdays from 8:00 to 12 noon
Excluding holidays

Phone: 830-997-9531
Toll Free: 1-800-280-9531

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