Get a Massachusetts Home Insurance Quote

First Name

Last Name

Social Security Number

Street Address

City

State

Zip Code

Day Time Phone

Cell/Other Phone

Confirm Email

How would you like to be contacted?

Dwelling Information

1. What year was your home built?

Type of home?

2. What style is your home?

1 Story	1.5 Story
2 Story	2.5 Story
Bi-Level	Split Level
Other

3. What is the total square footage of the finished
living area of your home?

4. Does your home have a:

Deck Sq. Ft.

Cathedral Ceilings % of home

Breezeway Sq. Ft.
Is Breezeway:

Porch Sq. Ft.
Is Porch:

5. Which of the following additional features
are in your home?

Skylights #	Picture Window #
Bay Windows #	Glass Sliding Door #
Bow Windows #	Atrium Window ##
Atrium/French Door ##	Central Alarm %%
Woodstove ##	Hot Tub SSq.Ft.
Wet Bar ##	Greenhouse SSq.Ft.

6. Do you have a Garage?

Yes No

Type:

How many vehicles can be parked in the garage?

7. Does your home have a basement?/strong>

Yes    No

IIf yes, percentage finished %

8. If your home does not have a full basement, > what percentage is:

SlabSlab %

CCrawl Space %

Stilts %

9. Which materials listed below best describe the materials found in your home? Please indicate the
materials as percentages of total
(e.g. 5%, 10%, 15%, etc.)

EXTERIOR WALLS:

Clap Clapboard %

Wood Siding %

Aluminum Siding %

Vinyl Siding %

Wood Shakes %

Brick Veneer %

Stone Veneer %

Stucco %

Block %

Solid Brick %

Solid Stone %

Masonry %

Log %

T-111 %

INTERIOR WALLS:

PlasterPlaster %

Dry Wall %

Studs Only %

WALL FINISHES:

Paint Paint %

Faux Finish %

Wallpaper %

Paneling %

Ceramic Tile %

Brick %

Stone %

Marble %

Knotty Pine %

ROOF COVER:

AsphaltAsphalt %

Metal %

Slate %

Clay Tile %

Wood Shakes %

Tar & Gravel %

Rubber %

CEILINGS:

Drywall %

Plaster %

Acoustic Tile %

Wood %

Other %

FLOOR COVERINGS:

Hardwood %

W to W Carpet %

W to W over Hardwood %

Wool/Berber Carpet %

Parquet %

Ceramic Tile %

Marble Tile %

Slate %

Brick %

10. How many kitchens are in your home?

Please indicate if any of your kitchens have the following features:

Corian, Granite, or Authentic
Marble CounMarble Countertop

Center Island with Cabinets or Sink or Sink

Jenn-Aire Stove

Walk-in Freezer

Sub-Zero Refrigerator

Motorized Pantry

Indoor BBQ

11. Please indicate the number of bathrooms that are:>
Full (3 or mFull (3 or more fixtures w/ tub)

Half (sink, toilet, stand-up shower)

Half (sink/toilet only)

Please indicate quality:

12. What is your homes primary source of heat?

Oil    Gas Electric

Other

If you heat with oil, where is the storage tank located:

Basement

Outside - Above Ground

Garage

Outside - Under Ground

Other

Do you have a secondary source of heat?

Yes    No

If yes, please describe:

13. Does your home have central air conditioning?

Yes    No

If yes, does it share ducts with the heating system?

Yes    No

14. Does your home have a central vacuum system?

Yes    No

15. How many fireplaces with masonry chimneys?

None

Single #

Double #

Triple #

(DOUBLE is two fireboxes and one chimney, TRIPLE is three fireboxes and one chimney)

16. Losses?
Yes    No

dates:

How much paid out?

17. Detached Structures?

Yes    No

If yes, what type of structure?

18. Animals or Exotic Pets?

Yes    No

If yes, what type?

19. Trampoline?

Yes    No

20. Pool?

Yes    No

If yes, is it? Inground    Above

Fenced? Yes    No

Toll Free> 1-800-595-0047

Westborough
1-508-366-6161

Shrewsbury
1-508-842-6161

Hopkinton
1-508-435-9727

Northborough
1-508-393-6161

Sutton
1-508-865-5878

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Massachusetts Home Insurance, Westborough Massachusetts Home Insurance – Mackintire Insurance, Get a Massachusetts Home Insurance Quote