Harry L. Bubb Associates, Inc. - Home Insurance Quote

Harry L Bubb Insurance offers all types of insurance to the York PA and Hanover PA areas with offices in Shrewsbury PA,
Hanover PA, and Red Lion PA. Providing auto insurance rate quotes instantly online.

Home Insurance Quote

Please fill in the form below for your FREE quote. Our team of professionals will carefully examine all of your needs and provide options from several companies so you receive the policy quotes best-suited for you.

General Information

Contact Name:*
Contact Phone:*
Contact Email:*


Current Insurance Company:*
Policy Expiration Date:*	/ /
How long with current Company:*
Current Bodily Injury /Property Damage Liability:*
Years at Current Residence:*
Prior Address:*

Owner Information

Select a Location:*
Primary Owner (Required)
Name:*
SS#:*	- -
Date of Birth:*	/ /


Secondary Owner
Name:
SS#:	- -
Date of Birth:	/ /


Address:*
City:*
State:*
Zip:*

Township/Borough:*
Home Phone:*


Previous Address:*
City:*
State:*
Zip:*

Home Information

Current Insurance Company:*

Current Expiration Date:*

/ /

How Much Is The Home Insured For:*

Past Claims:*

Yes

If A New Home Purchase

Settlement Date:*

/ /

Purchase Price:*

Amount Financed:*

Year Built:*

Construction:*

Type:*

If The Home Is Over 20 Years Old Have There Been Any Updates?

Yes

Roof Replaced:*

Electric:*

Fuse Box

Circuit Breaker

Plumbing/Heating:*

Yes

Sq. Footage:*

# of Rooms:*

# of Bathrooms:*

Basement:*

Yes

% Finished:

Garage:*

Yes

Garage Type:*

# of Cars:

Fireplace:*

Yes

Wood Stove:*

Yes

Swimming Pool:*

Yes

Trampoline:*

Yes

Central Air:*

Yes

Public Water/Sewer:*

Yes

Flat Roof:*

Yes

Business In Home:*

Yes

Scheduled Jewelry:*

Yes

Type of Heat:*

Breed Of Dogs:*

How Many Horses:*

Questions/Comments:

	No coverage can be bound or changed until you receive a written or verbal confirmation from our office. I understand that the above information may be verified from credit history reports, claims history and driver records.

*=Required Fields

Harry L. Bubb Associates, Inc. - Business and Personal Insurance - Toll Free: 800-339-BUBB (2822)
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