Low Cost
Homeowners Insurance for California Residents!

 
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Be Insured in 5 Minutes!

If busy, try 415-665-7400

Free On-Line Quotes!
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Your Auto Insurance Quote by E-Mail within 24 Hours!

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To Listen to This Month's Special Message:
"Why Instant On-line Auto Insurance Quotes are NOT Good for the Consumer."
(Playing time:   5 Minutes)

Other Insurance Here!
Click Coverage:
Non-Owners Coverage
Motorcycle Insurance
Homeowners Insurance
List of Moving Violations
Drunk Driving Info.
SR22 Filing Info.

 
Call Toll Free Now!
1-877-41-BASIC
Instant Phone Quotes
Be Insured in 5 Minutes!

If busy, try 415-665-7400

Free On-Line Quotes!
Click Here
Your Auto Insurance Quote by E-Mail within 24 Hours!

RealAudio Message!
Click Here
To Listen to This Month's Special Message:
"Why Instant On-line Auto Insurance Quotes are NOT Good for the Consumer."
(Playing time:   5 Minutes)

Other Insurance Here!
Click Coverage:
Non-Owners Coverage
Motorcycle Insurance
Homeowners Insurance
List of Moving Violations
Drunk Driving Info.
SR22 Filing Info.

 

Call Toll Free Now!
1-877-41-BASIC
Instant Phone Quotes
Be Insured in 5 Minutes!

If busy, try 415-665-7400

Free On-Line Quotes!
Click Here
Your Auto Insurance Quote by E-Mail within 24 Hours!

RealAudio Message!
Click Here
To Listen to This Month's Special Message:
"Why Instant On-line Auto Insurance Quotes are NOT Good for the Consumer."
(Playing time:   5 Minutes)

Other Insurance Here!
Click Coverage:
Non-Owners Coverage
Motorcycle Insurance
Homeowners Insurance
List of Moving Violations
Drunk Driving Info.
SR22 Filing Info.

Auto E Policy.com
1641 Taraval Street
San Francisco, CA 94116
To Get You the LOWEST Homeowners Insurance Rates, and Start Your Insurance Within Minutes!
(in most cases...)

We will shop over 30+ companies for the LOWEST rate!

Fill in Information Below,
and we will rush a quote to you!
ALL FIELDS MUST BE FILLED IN!

_______Your Personal Information_______

Your Name:
Property Address:
City:
State: MUST be California!
Zip/Postal:
E-Mail (REQUIRED):
Phone:
Fax (optional):
 
_________Dwelling Information_________

Year Home Built:
Home Square footage:
 
Number of units: 1 family Duplex
 
Type foundation: Slab Crawlspace over slab
Pier & Post Other (list in remarks)
 
Type Roof: Shingle Wood Shake
Tar/Gravel Spanish Tile
 
Number of stories: One 1.5
Two Three
 
Do you own animals or pets? Yes No
If yes, list type/for dogs, list breed:
 
Currently Insured? Yes No
Name of Carrier & how long insured?
Prior Claims? Yes No
Describe claims in detail:
 
Plumbing type: Copper Galvanized
Mixed (Copper/Galvanized)
 
Circuit Breakers or fuses? Breakers Fuses

# Bedrooms: # Bathrooms:
 
# Fireplaces: # Chimneys:
 
Special features
(i.e., deck, air conditioning, alarm systems, pool, etc.)
 
_________Coverage Information_________

Dwelling Cov. $ Contents $
Liability Cov. $ Deductible $
($250, $500, $1,000, etc.)
 
Comments/Remarks
(describe any scheduled jewelry, in-home business, or other special coverages needed here):
 
Send my quotation via: E-Mail Fax
Regular Mail


Thank you for filling out this form COMPLETELY!

We value your input as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or ANY other purposes. By checking the box below you agree to allow AutoEpolicy.com to release this information via the method you have chosen, and to release them from any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.

Yes, I Agree. Please Send Me a Homeowners Quote NOW!


(Please Note: The Internet can be an unpredictable place --- if you cannot get this form to send for some reason, please CLICK HERE, to E-mail us a quick note - we will get you the information needed for a quote IMMEDIATELY!)


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1641 Taraval Street - San Francisco, Ca 94116
Insurance Lic#0664506