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Homeowners Insurance Quote
Group: New York State Retired Teachers Association

Please complete and submit this online quote request. We will respond via email or phone, usually within 24 hours.
* required

Client Information

Name:*
Address:*
City:* State: Zip:
Phone:* Business Phone:
Email:*

Home Information

Year Built: Construction:
Number of Rooms: Square Feet:

Location of home if different than mailing address:

Fireplace -- Woodstove-- Central Air-- Swimming Pool

Primary Heat Source: Gas --Oil --Electric --Other

If home is over 20 years old, please indicate the dates for the following updates:

Electrical: Plumbing: Heating: Roof:

Current Insured Value:

Replacement Value of Home:
Replacement Value of Contents:
Value of Jewelry:

Deductible: $250 $500 $1000 Other:
Type of Coverage:
Liability Limit: $100,000 $300,000 $500,000
Umbrella Coverage: $1 Million $2 Million

Current Insurance Company: Expires:

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1280 New Scotland Road P.O. Box 219
Slingerlands, NY 12159
(518) 439-1141 or 800 439-6051