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Perryton Office
(806) 435-3625
Booker Office
(806) 658-4528
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What kind of home do you live in?
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Single Family Home
Single Family Condo
2-4 Family Building
Other Residential
Non Residential
Single Family
Mobile Home
Is your home over water?
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Not over water
Partially over water
Fully/Entirely over water
Building Purpose?
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100% Residential
100% Non-Residential
Mixed Use
Are you aware of any flood insurance claims that have been reported for this home?
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No
Are you renting this home or do you rent this home to someone else?
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Yes
No
Desired Contents Coverage
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$8,000
$12,000
$20,000
$30,000
$40,000
$50,000
$60,000
$70,000
$80,000
$100,000
Desired Building Coverage
*
Not Desired
$20,000
$30,000
$50,000
$75,000
$100,000
$125,000
$150,000
$200,000
$250,000+
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