Home Quote in York County, Pennsylvania

Name*

Email*

Address*

Date

Phone

DOB

Township/boro/city

Prior Address (If at current address less than 3 years, list prior address)

Home claims in the last 7 years

Select One

Single FamRowhouseTown HomeCondo

Year built

Number of stories

Style of home

Age of the

Roof

Plumb

Heat

Elec

Amps

Sump Pump

YesNo

Sq Footage of Home (not including your basement)

Basement

FinishedUnfinished

If Finished What %?

Above Ground Inground (circle which applies)

Pets

Breed

What personal property limit are you requesting?

If renting:

Amount of personal property needed on policy (minimum is $15,000)

Do you rent a mobile home?

YesNo

Is this a mobile home? If so,

Make

Model

VIN number

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Phone: (717) 767-1070

Fax: (717) 767-1080

Email: Agent@FeeserInsurance.com

Address: 3123 North George Street Emigsville, Pennsylvania 17318

Mailing Address: P.O. Box 137 Emigsville, Pennsylvania 17318

Monday:

9:00 AM – 1:00 PM In-person service available (doors open)

1:00 PM – 4:30 PM Remote service only – Our doors are closed, but we're still here to help by phone, text, and email.

Tuesday – Thursday:

9:00 AM – 4:30 PM In-person and remote service available (doors open)

Friday:

9:00 AM – 1:00 PM In-person service available (doors open)

1:00 PM – 4:30 PM Remote service only – Our doors are closed, but we're still here to help by phone, text, and email.

We will assist you by phone/text 717-767-1070 and by email Agent@feeserinsurance.com