Keller Insurance Agency
Barry Keller - Owner
P.O. Box 715
Warren, Pa 16365
(814) 726-0305
Serving Clients Since 1926

 

Keller Insurance Agency Offers
Homeowners Insurance

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First Name**:
Last Name**:
Address**:
City**:
State **:
Zip Code**:
Phone:
Square Footage:
# of Stories**:
Year Built**:
Lienholder:
Occupancy: Primary Residence Tenant Seasonal Rental Unit
Approximate Value of the Home:
Do you need Coverage on the Home?: Yes No
Amount:
Do you need coverage on unattached structures?: Yes No
Amount:
Do you need coverage on personal property?: Yes No
Amount:
Do you need liability coverage?: Yes No
Amount:
How much would you like your deductible to be?:
Best Time to Call?: Morning Afternoon Evening
Are you currently insured?: Yes No
If so, who is your current policy through?:
Date of expiration?:
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