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At Itasca Mutual Insurance, our agents take the time to help you analyze a home owners insurance policy that best suit your individual needs. Simply use the following form to receive a free price quote for your property or rental unit and an agent will contact you at a convenient time. The information you provide will be sent over a secure connection and will only be used for this quotation purpose, guaranteed.

Fields noted with an * are required.

Policy Holder

1. *First Name
2. *Last Name
3. *Phone
4. Email

Property Location in Minnesota

1. *Address
2. *City
3. *Zip
4. *County

Current Information

1. Insurance Company
2. Expiration Date
3. Deductible desired 250 500 1000 1500 2500 5000
4. Amount of Liability

Dwelling Information

1. Estimated Replacement Cost
2. Square Footage
3. Year Constructed
4. Number of Floors 1 Story 2 Story 3 Story Bi-level Tri-level Other
5. Type of Construction Aluminum Siding Brick Veneer Masonry Stucco Wood Other
6. Finished Basement Yes No Undetermined
7. Additional Features

   Burglar Alarm Dead Bolts Fire Alarm Fire Extinguisher

   Smoke Detectors Swimming Pool Trampoline

8. Property Location

   Within city limits Within 5 miles of fire station Within 1000 feet of a fire hydrant None of these apply

9. Pets or Livestock
10. Other items
11. Questions/Comments
13. Disclaimer Notice — The premiums quoted are estimates based on information you provided. This quotation does not constitute a contract of insurance, nor does it provide coverage for any loss or claim. Coverage can only be bound by an agent with a signed application and a down payment.