Homeowners Insurance in Lakeland

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Lakeland Insurance Experts

George Franklin Insurance

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Home
About
Get A Quote
Order Proof of Insurance
Contact

- Step 1 of 4

General Information

Name: *

First

Last

DOB: *//

Phone: *

Email: *

Physical Address: *

City: *

State: *

ZIP Code: *

Home Information

New Purchase?

Closing Date: *

Prior Claims:

Yes
No

# of Claims:

Selected Value: 0

Mobile Home?

Manufacturer:

Serial Number:

Length: *

Width: *

Home Type:

In A Park?

Park Name: *

Amount of Insurance Requested:

Add Attachment

Type: *

Length: *

Width: *

Add Attachment

Type: *

Length: *

Width: *

Add Attachment

Type: *

Length: *

Width: *

Type of Residence

Year Built:

Square Feet:

Roof Age:

Roof Age: 0 Years Old

Pool?

Yes
No

Type: *

Inground
Above

Extras: *

Screened
Fenced

Burgular Alarm?

Yes
No

Gated Community:

Yes
No

Dogs?

Yes
No

Restricted Breeds?

Yes
No

Restricted dog breeds include Pit Bulls, German Shepherds, Akitas, Staffordshire Terriers, Chows, Alaskan Malamutes, Doberman Pinschers, Great Danes, Siberian, Huskies, Rottweilers, Presa Canarios and Wolf hybrids.

NOTE: Don't be discouraged to disclose if you own a restricted dog breed. We will do our best to help find you coverage regardless.

Inspections

4-Point Inspection?

4-Point Inspection

Click or drag a file to this area to upload.

Wind Mitigation?

Wind Mitigation:

Click or drag a file to this area to upload.

Current Insurance Carrier

Name of Carrier:

Expiration Date://

Desired Coverage / Deductibles (If Applicable):

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