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Contact Information
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Mailing Address
Mailing Address Line 2
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ZIP
Date of Birth
Farm/Ranch Information
Any residence with wood shingles?
Yes
No
Any residence with a composition roof that has NOT been replaced in the last 15 years?
Yes
No
Predominant Type of Farming
Estimated Annual Farm Receipts
Any horse operations that include training, public trail rides, riding clinics or academies, or saddle animals for hire?
Yes
No
Any horses?
Yes
No
If yes, how many and what type(s)
Main Location Information
Main Location Address
Main Location Address Line 2
Main Location State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
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Nevada
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New Mexico
New York
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North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Main Location County
Main Location ZIP
Main Location Number of Acres
Additional Locations, please include address(es) and respective acreage(s)
Primary Residence Information
Primary Residence Type
Site-Built Dwelling
Mobile Home
Square Footage of Primary Residence
Number of Stories
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1
2
3
Occupied by
Owner
Tenant
Caretaker
Year Built
Construction Type
Masonry
Siding
Stucco
Nearest Fire Hydrant
Over 1000 ft
Under 1000 ft
None in area
Nearest Responding Fire Department
-- Select --
1
2
3
4
5
6
7
8
9
10+ miles
Do you employ part- or full-time laborers
Yes
No
Coverage Information
Liability Coverage Requested
-- Select --
$100,000
$300,000
$500,000
$1,000,000
Residence Coverage Requested
Deductible Requested
-- Select --
$1000
$2000
For Scheduled Property Such As Machinery, Barns, Additional Dwellings, ATV’s, Livestock, Hay, Etc Please List As Detailed As Possible With Values In This Comment Field
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(405) 293-4880
2403 S. Division St.
Suite A
Guthrie, OK 73044