Pinckney-Carter Co.

Homeowner's Quote

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Contact Name *
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Phone Number
Property Location
Address
City
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Current Insurance Information
Company Name
Current Annual Premium
Expiration Date
Deductible Desired
Amount of Liability
Earthquake Coverage Desired? Yes  No
Have you filed for bankruptcy within the past 7 years? Yes  No
Dwelling Information
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Year Constructed
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Type of Construction Wood
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Other Features
(check all that apply)		 Dead Bolts
Smoke Detectors
Fire Extinguisher
Central Station Fire Alarm
Central Station Burglar Alarm
Home Located within 5 miles of Fire Station
Home Located within 1000 feet of a Fire Hydrant
Swimming Pool
Trampoline
Home located within City Limits
Claims
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  Amount Paid Claim Type Description
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Personal Property
Estimated value of your personal property:
Jewelry & Watches
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Stamp and Coin Collections
Fine Arts and Breakable Items
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Disclaimer Notice - The premiums quoted are estimates based on information you provided. This quotation does not constitute a contract of insurance, nor does it provide coverage for any loss or claim. Coverage can only be bound by an agent with a signed application and a down payment.
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INSURANCE AGENCY

Pinckney Carter Company
1956 Remount Road
N. Charleston, SC. 29406

Call: 843.747-9073
Fax: 843.747.4726

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