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Address: 7710 Balboa Ave. Suite 323
San Diego, CA 92111
Phone: 858-581-2131
Email: service@getprosperins.com

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Start Quotes Here

Todd Homeowners Quote Form

How Did You Hear About Prosper Insurance Solutions?
Which protection advisor are you working with?
- Todd Payne
- Kim Boecker
- Bria Owens
- I don't know
Applicant Name
First Last
Best contact phone #
Date of Birth
MM slash DD slash YYYY
Co-Applicant
First Last
Date of Birth
MM slash DD slash YYYY
Is it OK to text you regarding your insurance?
- Yes
- No
Property Address*
City*
State*
Zip Code*
Mailing Address (if applicable)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Closing Date / Year Purchased
Previous Address (if less than 5 years)
If new purchase, moving in within 30 days?
- Yes
- No
Year Built
Square Footage
# of Stories
- One
- Two
- Three
Foundation Type
- Concrete Slab
- Crawlspace
Roof Type
- Tile
- Asphalt Composition
- Flat / Tar & Gravel
# of Baths
Please enter a number from 1 to 10.
Fireplace?
- Yes
- No
# of Chimneys
Please enter a number from 0 to 4.
Solar Panels?
- Yes
- No
Are Solar Panels Owned or Leased?
- Owned
- Leased
# of Solar Panels
Is the home titled in the name of an Individual, Trust, or LLC/Corp?
- Individual
- Trust
- LLC
- Corp
Any custom features or Upgrades?
Burglar Alarm?
- Yes, Centrally monitored
- Yes, Local
- No
Fire Alarm?
- Yes, centrally monitored
- No, only smoke detectors
Is there a Swimming Pool or Jacuzzi/Hot Tub?
- Yes
- No
Is the pool fenced?
- Yes
- No
Is there a diving board or slide?
Is there a trampoline?
- Yes
- No
Does the trampoline have safety netting?
- Yes
- No
Is there a skate board ramp?
- Yes
- No
Any pets/animals/dogs?
- Yes
- No
How many and what breed (dogs)
Any history of biting or aggressive behavior?
- Yes
- No
Any claims or losses at any location in the last 5 years? If so, describe losses, dates, and amounts paid
Any daycare or other home-based business?
- Yes
- No
Describe business
Is there an HOA?
- Yes
- No
Type of Policy Needed
- Homeowners
- Condo Unit Owners (Walls-In coverage)
- Renters / Tenants
- Landlord / Dwelling Fire
Year Roof Updated (if no update, use year home was built)
Has plumbing been updated? Yes/No, what year?
Type of Plumbing
- Copper
- Galvanized
- PVC
Year Heating Updated
Year Electrical Updated
Will you be doing any renovations or remodeling?
- Yes
- No
Describe renovations or remodeling:
Will the home be vacant for more than 30 days per year?
- Yes
- No
Describe vacancy details:
Any other information you feel would be helpful for us to research your insurance?

Would You Like Us To Review Your Policies?

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
What would you like quotes for?*
- Homeowners, Auto and/or Umbrella
- Renters Insurance
- Motorcycle
- Business Owners Insurance
- Life and/or Health Insurnace
Ok to text you regarding the quotes?*
- Yes
- No
If available, please upload your most current insurance policy declarations pages which shows your current coverage limits, deductibles, etc..
Drop files here or

Max. file size: 39 MB.

Request Your Proposal Here

Are you ready to save time, aggravation, and money? The team a Prosper Insurance Solutions is here and ready to make the process as painless as possible. We look forward to meeting you!

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1Zip Code

2Coverage Needs

3Contact Info

Zip Code*

What would you would like a quote for?*
- Homeowners
- Auto Insurance
- Life Insurance
- Commercial Business Insurance
- Other
Current Insurance Company
When would you like coverage to take effect?*
MM slash DD slash YYYY
This is not required, but if you have PDF docs for your current coverage information, please upload them here. This will greatly speed up the quote process and ensures maximum accuracy.
Drop files here or

Max. file size: 8 MB.

Name
First Last
Email*
Phone*
Any questions or comments?