Applicant Information

First Name:

Last Name:

Address:

City:

SOUTH CAROLINA

Zip Code:

Daytime Phone:

Cell Phone:


Email:  (Required)


How Best To Contact You:


Currently Insured:



Date of Birth:

Social Security #:



Spouse First Name:

Spouse Last Name:

Spouse Date of Birth:

Spouse Social Security #:




Property Usage Information

Flood insurance policy in force:


Coverage Requested For:


Years Lived at Address to be Insured:


Usage Type:


Dwelling Occupied By:




Choose Coverage Limits

Value of Your Dwelling:
$

Additional Structures Value:
$

Value of Your Personal Property:
$


Personal Liability (each occurence):


Medical Payments (each person):


Other Perils Deductible:


Windstorm Deductible:




Policy Endorsements

Replacement Cost, Dwelling:


Replacement Cost, Contents:




Dwelling Information

Distance from Fire Department:

Year Dwelling Built:


Dwelling Square Feet:


Construction Type:


Central Fire Alarm:


Sprinklered All Rooms:


Smoke Detectors:


Deadbolt Locks:


Plumbing Renovation:


Plumbing Renovation Year:


Electrical Renovation Year:


Type of Wiring:



Amps:


Heating Type:


Heating Renovation Year:


Roofing Renovation:


Roof Age:


Exterior Paint Renovation:


Exterior Paint Renovation Year:


Swimming Pool:


Diving Board:


Pool Screened:


Approved Fence:


Basement:


Garage:


Garage Size:


Fireplace:


Have a Wood Stove:


# of Full Baths:


# of Half Baths:




Loss History

Did you have any losses, whether
or not paid by insurance, during the
last 5 years, at this dwelling location
or any other location:





Description of losses, including
amount paid on each accident.






Question or Message:



Click the "Submit Quote Request"
button below to send your South
Carolina Homeowners Insurance
request to Russell-Massey & Company.


***By submitting this request you
acknowledge that this is neither
an offer to insure nor a guarantee
of insurance.***








We are a Columbia, SC insurance
agency offering South Carolina
homeowners insurance quotes
in the following towns, cities and
counties in South Carolina:
Chapin, Arthurtown, Saluda, Terrace,
Sandwood, Arcadia Lakes, Cayce,
Olympia, Forest Acres, Dentsville,
Eau Claire, West Columbia, Springdale,
Denny Terrace, Belmont, St. Andrews,
Irmo, Oak Grove, Lexington, Galaxy,
Bluff Estates, Hazelwood Acres, State
Park, Haskell Heights, Lincolnshire,
Ballentine, Killian, Red Bank, South
Congaree, Edmund, Gilbert, Summit,
Gaston, Hopkins, Capitol View, Horrel
Hill, Fort Jackson, Pontiac, Elgin,
Blythewood, Camden, Richtex,
Whitehall, White Rock, Sumter, Lugoff,
Boykin, Rembert, Hagood, Horatio,
Stateburg, Borden, Wedgefield, Oswego,
Gadsden, Fort Motte, St. Matthews,
Swansea, Woodford, Winnsboro, Pelion,
Steedman, Samaria, Monetta,
Batesburg-Leesville, Stoney Hill,
Prosperity, Newberry, Peak, Little
Mountain, Slighs, Pomaria, Jenkinsville,
Rion, Winnsboro Mills, Simpson,
Smallwood, Ridgeway, Orangeburg,
Lexington County, Fairfield County,
Calhoun County, Sumter County,
Kershaw County, Saluda County,
and Richland County, SC. We can
also offer a South Carolina homeowners
insurance quote throughout the Palmetto
state, including in Florence, Greenville,
Spartanburg, Myrtle Beach, and
Charleston, SC.
Homeowners
Insurance Quote
& Company, Inc.
General Insurance
Russell-Massey
800-849-7475
803-779-7854
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Russell-Massey & Company, Inc.
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