Information Sheet - Home - Stanberry Insurance

Thank you for choosing Stanberry Insurance! Please complete the form below so that we can be best prepared for your upcoming meeting! If you need to reschedule your meeting or have any questions, please call us at 828-586-8926! Thank you!

Information Sheet - Home

Name*
First Last Suffix
Date of Birth*
MM slash DD slash YYYY
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Physical Address (If different than Mailing Address)
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Any claims within the last 5 years? If yes, please describe.
Inside City Limits?
Year Built
Age of Roof
Roof Type
Please select any recent updates to the home:
- Heat
- Electric
- Plumbing
Update Description
Residency Type
Construction Type
Square Feet (Main Floor)
Stories
Basement
Basement Finished?
What percent of the basement is finished?
Foundation
Bathrooms
Heat Type
Wood Stove
Porch
Deck
Detached Structures
Fireplace
Animals
Personal Property
- Jewelry
- Antiques
- Guns
- Silver
- Other
Other Personal Property Description
Earthquake Coverage
Back-up of sewer and water
Wall Coverings
Ceiling Material
Flooring Throughout Home
Fire Department
Hydrant within 1,000 feet?
Lender
Previous Insurance Carrier
Any Additional Information, Updates, or Upgrades?
Who is your scheduled meeting with?*
Please select the agent you are working with so that this form can be routed to the correct person!
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The next step is easy, call 828-586-8926 Or, Contact Us

About Stanberry Insurance

We’re an independent insurance agency offering a comprehensive suite of insurance solutions to protect you from the unexpected.

We don’t just sell insurance. We work closely with clients to help them make important and informed decisions every day when it comes to protection and their future.

We offer comprehensive insurance solutions across North and South Carolina, East Tennessee, Northern Georgia, Southern Kentucky & Virginia.

Thank you for choosing Stanberry Insurance! Please complete the form below so that we can be best prepared for your upcoming meeting! If you need to reschedule your meeting or have any questions, please call us at 828-586-8926! Thank you!

Information Sheet - Home

About Stanberry Insurance

Our Mission

Our Offices

Where We Insure