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HOMEOWNER INSURANCE QUOTE

HOMEOWNER
Name of Property Owner*
Property Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
HOME INFORMATION
Square Footage of Property (Please Include Garage):*
Year Built*
Swimming Pool*
- Yes
- No
LIABILITY AND OTHER
Limited Liability Requested:*
Would You Like Sather's Insurance to Include EARTHQUAKE Pricing?*
- Yes
- No
Would You Like Sather's Insurance to Include FLOOD Pricing?*
- Yes
- No
Do you have a current policy with someone else*
- Yes
- No
My Current Policy is with:*
My Policy will Expire on:*
MM slash DD slash YYYY
I would like to have Sather's price this policy every:*
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OFFICE ADDRESS

5725 Ralston St, Suite 214 Ventura, CA 93003

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MAILING ADDRESS

P.O. Box 7150, Ventura, CA 93006

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CALIFORNIA

(805) 644-8600

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OUTSIDE CALIFORNIA

1-800-4SATHER

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FAX & EMAIL

(805) 658-2347
info@sathers.com

OTHER INSURANCE

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