Kentucky Insurance Charlie Pinson Insurance Independent Insurance Agent serving Louisville Ky, Lexington KY, Pikeville Ky and all the Bluegrass state Where people make the difference Welcome to Charlie Pinson Insurance local Independent Insurance Agent for online insurance quote Kentucky car insurance and Kentucky health insurance based in Pikeville Ky
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Homeowners Insurance Quote for Pikeville KY and Prestonsburg KY Area

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Kentucky Homeowners Insurance for Pikeville,
Prestonsburg, and South Williamson areas

Call to speak to a real person at 606-433-0031 or e-mail us

Whether you are buying Pikeville KY Real Estate or looking for a more competitive homeowners insurance policy for your Big Sandy area home Charlie Pinson Insurance can help! Charlie Pinson Insurance Pikeville KY is a Kentucky independent insurance agent, representing several insurance companies.In submitting information for a quote, our agents may provide this information to MORE THAN ONE company. Each company may review your consumer reports. At this time, we are limiting online homeowner and mobile home quote requests to the Big Sandy and Tug Valley areas including Pike and Floyd County. Quotes are subject to change. Vendor rate revisions, undisclosed losses, and fire protection class changes may influence the final premium. Click learn more about Kentucky insurance fraud or Click here for consumer tips about Kentucky insurance quotes.

General Information
Instructions: Enter your complete information in the form below, and click the Continue button to proceed.
Name
First Last
Phone Numbers
HOME WORK MOBILE
Address (Mailing)
STREET ADDRESS
         
CITY STATE ZIP
Address (Physical)
STREET ADDRESS
CITY STATE    ZIP COUNTY
E-mail Address
Residence Information
                                 
RESIDENCE SITUATION CITY LIMITS?
Length at Residence
Previous Address
STREET ADDRESS
        
CITY STATE ZIP
PAGE 1 of 7  
Applicant Information
Instructions: Enter information for the applicant and spouse that own the home which will be covered by this policy.
Applicant Spouse
Name
SSN
Date of Birth
Gender
Occupation
Employer
Length of Employment                                           
PAGE 2 of 7  
CURRENT CARRIER Information
Currently Insured?
If Not Insured, Why?
Current Carrier                         
How Many Months?
Effective Date
Expiration Date
Current Premium
Current Coverage
HOME CONTENTS LIABILITY
OTHER EXPLAIN OTHER
Lapse in Insurance?
Cancelled Insurance?
Bankruptcy?
Lapse, Cancellation, or Bankruptcy Notes
Claims Filed  
PAGE 3 of 7    
Home Information
Purchase Date
Purchase Price
Market Value
Number of Residents in Home
Number of Families in Home
Usage of Home
Year Built
Ages (in years) of Home Features
ROOF WIRING PLUMBING
 
HEATING COOLING  
Building Type
Number of Stories
Square Footage
Construction Type
Roof Type
Foundation Type
Please provide square footage information about the home's decks.
FRONT REAR OTHER
Please provide square footage information about the home's porches.
FRONT REAR OTHER
PAGE 4 of 7  
Home Information (Continued)
Do you have dogs?
Do you have a trampoline?
Do you have a home business?
Do you have ATVs, golf carts, or boats at home?  
Do you have rails and steps at all entrances?  
Do you have a basement?  
If you have a basement, what % is finished?  
Do you have a finished attic?  
If you have an attic, what % is finished?  
How many full baths does the home have?  
How many half baths does the home have?  
How many bedrooms does the home have?  
Does the home have a swimming pool?  
Does your home have a carport or garage?  
If you answered "Yes" to the previous question, how many cars will your garage or carport hold?  
Does your home have deadbolt locks on its exterior doors?  
If you have additional security features for your home, please describe them.  
PAGE 5 of 7  
Home Information (Continued)
What type of heating does the home have?  
Does the home have central air?  
If the home has central air, does it share the same duct work as your heating system?  
Does your home have one or more fireplaces?  
How many fireplaces does your home have?  
If your home has fireplaces, how many fireplace inserts do you have?  
How many wood stoves does your home have?  
Do you use space heaters in your home?  
How many smoke alarms does your home have?  
How many fire extinguishers do you have at home?  
What is the closest Fire Department to your home?  
How many miles away is this Fire Department?  
How many feet away is the closest fire hydrant?  
If your home has any of the special construction items listed to the right, please select them.  
Vault Ceiling
Tray Ceiling
SkyLights
French Doors
Picture windows
Bay or Bow Windows
Jacuzzi or Hot Tub
Built Ins
PAGE 6 of 7  
Additional Information
Instructions: To help us better assist you with your additional needs, please provide us with the following information. Press the Submit button to complete your quote request.
Contact Preference
Other interests:
KY Personal Auto Quote
KY Commercial Auto Quote
KY Short Term Health Insurance Quote
KY Family or Individual Health Insurance Quote
Other Comments

Disclaimer In submitting information for a quote, our agents may provide this information to MORE THEN ONE company. EACH company will review reports about driving record, claims, and credit history to be as accurate as possible. Quotes are for Kentucky residents only. Future reports may be used to update or renew your insurance. By submitting this request, you understand the terms above.
PAGE 7 of 7  
 
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© 2007-2008 Charlie Pinson Insurance KY All rights reserved. Licensed Kentucky Independent Insurance Agent.   
Coverage cannot be bound or altered by email. Kentucky online insurance quote subject to vendor underwriting guidelines. Kentucky Health Insurance, employee benefits, and Kentucky Life Insurance are offered through Triple B Insurance of Pikeville. This site is not intended to offer legal or financial advice. Consult an attorney or accountant.