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Contact Information

Name: Joe Doe Email Address: johndoe@aol.com Daytime Phone: (512) 555-1212 Evening Phone: Street Address: 123 Main St Location: Austin, Texas 78704 Currently Insured: Yes Current Provider: Allied Covered for: More than 3 years Policy Expires: 06/26/2005

Home Information

New Purchase: No Property type: Single Family Home Construction type: All Brick Foundation type: Basement Roof type: Metal Electrical system: Circuit Breakers Security system: None Garage type: Attached 2 Car Garage Occupancy Status: Primary Residence Number of floors: 1 Number of bedrooms: 3 Number of bathrooms: 2 Year built: 1976 Square feet: 1600 Dog: No Number of Units: 1 - 5 Property extras: Deadbolt Locks, Smoke Alarm, Fire Extinguisher, Manned Fire Station w/in 5 Miles, Fire Hydrant w/in 1000 Feet, Copper Water Pipes

Coverage

Address: 123 Main St. Location: Austin, Texas 78727 Applicant birthdate: 09/12/1951 Credit Standing: Average Earthquake interest: No Coverage amount: $156,000 Deductible: $1,000 Liability coverage: $300,000 (Most Common) Flood interest: No

Claims

No Claimes Entered