Name:

Larry XXXXXXX

Address:

XX XXXXX XXX

City:

Arlington

State:

Texas

Zip:

XXXXX

Work Phone:

XXX-XXX-XXXX

Home Phone:

XXX-XXX-XXXX

Email Address:

xxxxxxxx@cs.com

Best Time To Call:

8 - 10 a.m.

Gender:

Male

Date of Birth:

7/5/59

What month did you buy your home in?

April

Purchase Price (or) Replacement cost of your home:

$250,000.00

Type of Home?

Single Family

Year Built?

70's

Square Feet?

2980

Electrical System?

Circuit Breakers

Type of Construction?

Frame

Do You Have An Alarm?

Yes

Do You Have Central Air?

Yes

Number of Fireplaces?

2

Number of Bedrooms?

3

Number of Bathrooms?

3

Do you have a pool?

Yes

Garage Type?

Attached

Have You Made A Claim  In The Past 5 Years?

None

Your Current Fire/Home Insurance Carrier:

State Farm