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Quotes: Request a Home Quote

Request a Quote for Home Insurance

Request a Homeowner's Quote

We're happy to provide you with a quote to help you protect your home. After filling out the detailed form below, one of our award-winning customer service representatives will be able to find the company that best fits your needs, and get back to you with a quote as soon as possible.

Name on Deed *

Address on Deed *

Location of Property

Prior Address

Closing Date

Applicant Name *

Applicant Date of Birth *

Applicant Education Level

Applicant Marital Status *

Co-Applicant Name

Co-Applicant Date of Birth

Co-Applicant Education Level

Co-Applicant School/Year Graduated

Co-Applicant Marital Status

Contact Information

Contact Name *

Contact Phone Number *

Contact Email *

Preferred Contact Method *

Phone

Underwriting

Policy Type *

Primary Home

Secondary Home

Condo

Rental

Have you had any losses in the past three years? *

Yes

If this is a coastal property, approximately how many feet is the house to the water?

List all pets with breed and age

Do you have any of the following (check all that apply)

Above Ground Swimming Pool

Inground Swimming Pool

Diving Board

Fenced Yard

Trampoline

Skateboard Ramp

Treehouse

Underground Oil Tank

In-Home Business

Name of Current Auto Insurance Company

Home Information

Square Footage of Home *

Year built *

Construction and Foundation *

Wood

Brick

Masonry/Stone

Vinyl Siding

Aluminum Siding

Basement Foundation

Open Foundation

Crawl Space Foundation

Slab Foundation

Closed Foundation

Stilt or Piling Foundation

Last Update of Wiring

Last Update of Heat

Last Update of Plumbing

Last Update of Roof

Type of Heat

Oil

Gas

Electric

Woodstove

How did you hear about us? *

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ABOUT CHASE AND LUNT

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INSURANCE 101

Confused by 'umbrellas'? Thinking about 'riders'? Learn more in our Glossary of Insurance Terms.

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47 State Street, Newburyport, MA 01950 • 978-462-4434