Your insurance is only as good as your agent.
(541) 895-4515
Creswell, OR
Ryan Hoffstot Insurance Agency Inc.
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Current Insurance Information
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Current Annual Premium
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Insurance Information
Deductible Desired
$100
$250
$500
$1000
$1500
$2000
$2500
$5000
Amount of Liability Desired
$100,000
$500,000
$300,000
$200,000
$1,000,000
Earthquake Coverage Desired?
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No
Windstorm Coverage Desired? (not applicable in all states)
Yes
No
If Any Pets, What Breed?
Dwelling Information
Is this home owner occupied or a rental?
Owner Occupied
Rental
Estimated Replacement Cost
Square Footage
Year Constructed
Is Your Home over 20 Years Old? If so, What Updates Have Been Made?
Age of Hot Water Heater?
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1 Story
1.5 Story
2 Story
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Type of Construction
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Stucco
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Other Home Features
(check all that apply)
Dead Bolts
Smoke Detectors
Fire Extinguisher
Central Station Fire Alarm
Central Station Burglar Alarm
Located within 5 miles of Fire Station
Located 1000 feet from Fire Hydrant
Swimming Pool
Trampoline
Home Located within City Limits
Claims
List any claims in past 3 years:
Date of Claim
Amount Paid
Claim Type
Description
Date of Claim
Amount Paid
Claim Type
Description
Date of Claim
Amount Paid
Claim Type
Description
Personal Property
Estimated value of your personal property:
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Stamp and Coin Collections
Fine Arts and Breakable Items
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