Physical Address of Home:

Select Appropriate State (TEXAS Only right now)
Texas

If HOME is in a SUBDIVISION list Name of Subdivision:

Which of the following best describes your SUBDIVISION or Location of HOME: Home is in the City Limits Home is outside the City Limits but in a SUBDIVISION within 6 miles of the CITY Home is outside the City Limits, NO SUBDIVISION Home is actually within 6 miles of 2 or more cities (name the cities below)

If answer is 2 or more cities, please name them:

Are there FIRE HYDRANTS?: 
Less than 500' from Home More than 500' but less than 1000' from Home More than 1000' or NO HYDRANTS in Subdivision

Predominant Construction of HOME (51% or more): Brick, Stone or Hollow Tile (Interior walls may not be WOOD or Sheetrock, may be plaster) Brick or Stone Veneer (Interior walls are wood or sheetrock) Stucco, Hardi Plank, or Asbestos Siding (if asbestos siding, we cannot quote) Frame, Masonite Siding or similar construction

Have you carried Home Insurance for the Last Year?: Have Carried Coverage on my Home Have NOT Carried Insurance on my Home Did not OWN prior home, so didn't carry coverage

Value of Your HOME?: (We will calculate values for contents at 60% of HOME Value) 

Available Discounts - Mark ALL that APPLY:

Please Note that Homes over 25 years old will require pictures and supplemental applications for
update info:

Type of Roof: 
Composition Shingles (asphalt shingles - most typical roof) Metal (Steel or Aluminum) Wood Shakes (not eligible for any of our programs) Tar & Gravel (not eligible for any of our programs unless sloped)

Alarm System?: 
No Alarm Local Alarm Only (sounds on premises and/or outside home) Monitored Central Station Alarm with Contract

Any Owner Age 55 or OVER?: Yes No

If we also happen to write your auto coverage, you receive an additional 5% discount on our Homeowners Product. If your home has been inspected and has received a certificate from a law enforcement agency qualifying it for a "protective devices discount" an additional 15% discount may apply.

Computer & Satellite Endorsements

Please note that computer coverage may exist under your Broad Form Homeowners or Home Guard Policies. This broadening endorsement enhances coverage by giving you coverage for variation in voltage, software coverage and lowers the deductible. Satellite Dishes, Receivers, switches, cabling, etc. are ONLY COVERED if this endorsement is attached.

We issue only the Broad Form Homeowners Policy or Home Guard Policy in this program. We automatically include the Replacement Cost Endorsement (HO101) for Contents, Unscheduled Glass Endorsement (HO105), and increased limits of Personal Liability ($300,000 Liability and $3,000 Medical Payment) Other endorsements and deductible adjustments are available (including but not limited to increased limits of watches, jewelry & furs, Personal Injury (libel, slander, wrongful eviction), additional premises (rental properties) antennas (including satellite dishes), increased limits of business personal property at home, and a broadening endorsement for home computers.We have determined that OUR Homeowners Pricing is among the very best in the following counties: Travis, Hays, Williamson, Guadalupe, Bexar, and many others. We will probably NOT be COMPETITIVE in the DFW or Houston area, or in the seacoast areas. Our Companies are all "A" Rated and represent an excellent value for your Insurance Dollar. We are especially competitive on new construction (under 10 yrs old) with or without Fire Hydrant Protection if in a Subdivision.At this point, send the form to Bill Taylor & Associates for Quote.