Insurance Agency Gugino Group Inc.

Insurance Agency Gugino Group Inc. Serving All of New York State. Savings and Security are Just a Quote Away

Request a Quote - Homeowners Insurance

Name:

Phone:

Email:

Birth date:

Marital Status:

Address:



Address to be Insured:



Number of Stories:

Square Feet:

Basement:

yes no

Garage:

yes no

Garage attached/detached/built in:

Number of Baths:

Bedrooms:

Year Built:

Central Air:

yes no

Deck Square Feet:

Fire Place:

yes no

Outside Structure (choose one):

Frame: Modular or Pre-Fab
Frame: Wood, Metal, Plastic or Aluminum
Brick: Solid Brick or Masonry
Brick Veneer: Face Brick, Stone or Masonry
Fire Resistive
Log

Have you had any losses and/or Claims on your property in the past
three years?



yes no

Market Value: