Laubscher Insurance: We're Not Crabby!
Po Box 125
432 Sterling Road Rt 196
Mount Pocono, Pa 18344
(570) 839-2600
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Home Owner's Insurance
Basic Information
Please tell us about the Owner
Owners's Full Name
Address #1
City
State
Zip/Postal Code
Email
Phone Number
 
Home Information
Please describe the home you will be insuring
Address of home
City of home
State of home
Zip/Postal Code of home
Total Square Feet of Home
Listing Price of Home
Total Amount of insurance desired on home
Deductible desired
Present Insurance Company
Have you had Homeowner Losses in the Last 5 Years?
If yes to the above question, how many?
Year Home was built
Age of Roof
Age of Furnace
Amps of Electrical System
 
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