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Borrower Co-Borrower (if applicable)
Name   Name
Address   Address (if different)
County   County
City   City
State, Zip   ,        State, Zip ,
Date of Birth  ,  ,   Date of Birth  ,  ,    
Social Security Number Social Security Number
Cell Phone Cell Phone
Work Phone Work Phone
Fax (optional) Fax (optional)
Best Contact   Best Contact  
Email   Email
Occupation Occupation

Year Home Built       Age of Roof     Home (Approximate Square Footage)   

Foundation Type

  If Other, indicate type

Roof Type

   If Other, indicate type

Policy Type

  Number of Units  

Shape?

  Basement  Yes  No

Number of Stories

  # of bathrooms   # of bedrooms  
Do you own a dog?  Yes  No  - If Yes, what breed?

Special features (pool, alarm, home business, etc.)

Prior Claims?  Yes  No  - If Yes, describe

Dwelling Coverage

  Liability Coverage  

Contents Coverage

  Deductible %  
Other Comments

 

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We offer more discounts!*

Aldriedge Insurance Agency has been serving the North Texas area since 1982 and we will take the time to explain your coverage, answer your questions, and provide you with good policies through quality insurance companies. We enjoy helping our clients and are committed to providing our clients with honest and valuable insurance advice.

Aldriedge Insurance offers you a wide range of insurance products and our friendly manner of doing business makes us easy to work with. Aldriedge represents financially strong, quality insurance companies and can help you get a good price on most any insurance product.

Quality insurance products can improve your life and the lives of those you love, and a personal agent can help to give you peace of mind.

Call us today for a FREE quote for all of your insurance needs at 877-382-9518!

 

 

Popular Questions

What is homeowners insurance?
Homeowners insurance provides financial protection against disasters. A standard policy insures the home itself and the things you keep in it.

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Are there different types of policies?
Yes. A person who owns his or her home would have a different policy from someone who rents. Policies also differ on the amount of insurance coverage provided..

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* We Offer More Discounts!
Discounts for:

  • Auto/Home Clients
  • Monitored Alarm
  • Non-Smoking Households
  • Claims Free
  • Newer Homes
  • Hail Resistant Roof
  • Automatic Fire Sprinkler System
  • Teachers
  • College Professors
  • Engineers
  • Firefighters
  • Physicians/Surgeons
  • Police Officers
  • Active Military
  • Scientists

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