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Protection that Keeps You Safe

You are just one basic step away from allowing MyHouseValue to do the shopping for you. As always, when you are searching for the best protection at the best price, MyHouseValue is the place for you to come out on top! Our goal is to help you get top quality insurance which will meet your specific needs. Getting started is simple, just complete the form below and we will get working for you. Of course, there is no obligation and if you can obtain better coverage elsewhere we want you to take it. It is our pleasure to serve you and if you should have any questions please do not hesitate to contact us.


All fields with an asterisk (*) are required.
*What is the address of the Property which is to be quoted?
*Property Address:
*City, State, Zip: , ,
Will this insurance policy replace an existing policy?   Yes        No
Type of property to be insured:
Do you currently own the property (or in the process of purchasing the property)?   Yes        No
Do you currently live or plan to live in the property (full-time residence)?   Yes        No
Approximate value of the property:
Year built:
Approximate square footage of property:
Is this property your primary or secondary residence?
Is this property currently occupied?   Yes        No
Personal Property Coverage:
Liability coverage (example: $250,000)
*Your Name (First, Last): ,
*E-mail:
*Confirm E-mail:
Mobile Phone:
*Preferred Land Line:
Best time to call:
Are you interested in additional insurance protection?
Additional Information (if any):
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