Remtal House Quote

Welcome to the Cardinal & Universal Insurance Agency Rental House Quote request
Our market area is 30 miles around Manhattan and Junction City, Ks.


Personal Information
Name:
Address:   City:  State: KS    Zip Code: 
Phone:   EMAIL:
Social Sec No.:    Date of Birth: 

Home Information
Rental House Address:   City: 
Year Built:   Number of Families:
Construction Type:
Coverage type: 
Replacement coverage: (you must insure the house for replacement value) or
Actual Cash value (cost of repair minus depreciation)
Within City Limits? YesNo    Non-Smokers:

Installed Protection Devices: (Check all that apply)
Smoke AlarmsFire ExtinguishersDead Bolts
Burglar Alarm MonitoredBurglar Alarm w/ Siren 
Coverage
Home Value:   Deductible:
Liability:

Are you interested in any of our other Products? (check all that apply)
Auto InsuranceLife InsuranceMedical InsuranceAnnuities
Boatowners Cycle Ins Business 
Any Message? Questions? Special Considerations?


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