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RGC INSURANCE AGENCIES
Roscommon
| (989)275-5555 | 400 N 5th St. Roscommon 48653
Grayling
| (989)348-4444 | 2411 I75 Business Loop Grayling 49738
Coopersville
| (616)850-1111 | 297 Main St Coopersville MI 49404
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Details about your home:
GENERAL INFO
*
Indicates required field
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Construction method to erect your home
*
2x6 Frame (wood studs)
Masonry (brick or block walls)
Masonry (poured walls)
Log
Modular
Mobile Home
Metal Studs
2x4 Frame (wood studs)
Home construction type
*
Traditional / site-built frame
Modular
Mobile
BOCA
HUD
Foundation type/s
*
Basement
Slab
Crawl
Foundation material
*
Block
Poured concrete
Stone
Wood
Year built
*
Square feet of home (DON'T include basement)
*
Number of Stories
*
1 Story
1.5 Story
1.75 Story
2 Story
2.5 Story
Number of baths
*
1
1.5
2
2.5
3
3.5
4
4.5
Siding Materials
*
Vinyl
Wood
Aluminum
Brick veneer
Brick
Stone veneer
Stone
Stucco
Other
List of special features built into the home (special windows, jacuzzi, skylights...)
*
Fireplace / woodstove / outdoor boiler
*
None
Fireplace - wood
Fireplace - gas insert
Woodstove
Pellet stove
Outdoor boiler
Heat type
*
Gas / Forced air
Hot water baseboard
Electric
Radiant / Floor
Wall heater
None
Air Conditioning
*
Yes
No
Interior wall material/s
*
Drywall
Paneling
Tongue/groove
Plaster
Floor covering material
*
Wood
Laminate
Tile
Vinyl plank
Carpet
Added Features
*
Automatic Generator
Central Alarm
Home Vacuum System
Water Shut-off
Other
List all attached structures (garage, deck, porch, awnings, fences, etc.)
*
Year roof last replaced
*
Roof material
*
Composition/Asphalt Shingle
Extended Life Composition/Asphalt Shingle
Metal
Extended Life Metal
Roll
Shake Shingle
Tile
Wood
Other
BASEMENT SECTION (Only if there is a basement)
If basement, what is the basement's square footage?
*
If basement, is it finished to some degree?
*
Yes
No
If basement, is it:
*
Walk-out
Daylight
Below Grade
Please explain any answers above where your choice did not fit your home perfectly. Please also detail any features (ex: quartz countertops, higher grade/cost wood floors, etc.) here
*
Submit