Bakos Agency Homeowners Insurance Quote:

Please fill out the form below with all the information. All information is required to give an accurate quote. If you cannot answer something please leave it blank, or contact one of our agents to help you. This site is safe and secure for passing personal information.

E-mail address

Address of Property

State Zip

Current Coverage

Other Structures
Medical Payments
Personal Property
Loss of use
Deductible Desired
Year Constructed
Number of Family
Construction Type
Frame Stone Masonry Veneer


Any other structures, like a garage, or storage building on premise? Yes No
Any insurance discontinued in the last 3 years? Yes No
Are there any other non-central heating devices in use? Yes No
Any other insurance with us? Yes No
Is their a swimming pool on premise? Yes No
Any animals on premise? Yes No
When was the last update for your electrical system? Breeaker Fuse
When was the last update for your plumbing system? Pipe PVC
What was the year of the last roof work?
Shingle Rubber Metal Rolled Roof (Tarpaper)
When was the last update for your heating system?
Cleaned or Maintained once a year? Yes No
Any claims in the last 5 years? Yes No
Who is your responding Fire Deaprtment?
Is this home a townhouse? Yes No
Are their smoke alarms in the home? Yes No
How many?
Do you own any recreational vechiles, like a snowmobile or a boat? Yes No
Additional Comments