Tel: 705-646-9995 Toll Free: 877-877-3929 contact@lesbell.ca

Home & Property Insurance

No matter what type of home you have, how much property you own, or whether you rent or own, we have coverage to fit your needs.
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Insure All Property Types

Own or rent, condo or home, we have coverage right for you and your home or property.

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    Name on Title Address
    Home Phone (required) Mobile Phone (required)
    Email (required) Any Claims in the last five years?
    YesNo

    If yes, explain.

    Purchase Date Do you rent any portion of the house?
    YesNo
    Year Built Square Feet Any Smokers?
    YesNo
    Dwelling Type Home Type Construction Type

    Bathrooms

    Full Half Three Quarter

    Do you have pets?? YesNo

    Basement

    Do you own a basement? YesNo

    Finished? Full or Partial Year Finished Square Feet
    YesNo FullPartial

    Garage

    Do you own a garage? YesNo

    Size of Garage Attached or Detached
    AttachedDetached

    Deck

    Do you own a deck? YesNo

    Do you have a deck? Square Feet of Deck Deck Material
    YesNo

    Home Improvements/Updates

    Have you done any updates to the home? YesNo

    Have you updated the heating? YesNo

    Have you updated the plumbing? YesNo

    Have you updated the electrical? YesNo

    Describe the electrical wiring in your home.

    Amps Circuit Breaker or Fuse Box Type of Wiring
    Circuit BreakerFuse Box KnobTube
    Year Roof was updated Market Value of House Specialty Features of Home
    Mortgage on Property? One Mortgagee or Two? Name(s) of Mortgagee
    YesNo OneTwo
    Do you have a monitored security alarm? If yes, name of monitoring company
    YesNo

    Current Coverage

    Current Company Policy Number Years with Company
    YesNo

    Additional Features or Comments

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    Contact us today for a FREE quote.

    46 Ann Street
    Bracebridge, ON P1L 2C1

    Tel: 705-646-9995
    Fax: 705-646-9992
    Toll Free: 877-877-3929
    contact@lesbell.ca

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