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Best insurance in all of the Texas Hill Country

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Luxor Insurance Services understands how important protecting your home and cherished valuables from damage and theft is to you. Through our comprehensive and affordable insurance policies, you can rest easy knowing you have a personalized policy to safeguard your assets and the dedication of our staff to your family.

Let us help you navigate category limits and per item limits that can affect the amount you are paid for covered lost or damaged personal items as well as to distinguish a sensible risk versus a catastrophic liability.

Call us today at (210) 582-5857 and find out why Luxor Insurance Services is one of the leading independent insurance agencies in the Texas Hill Country.


Primary Insured


Name Email Address
Address Day Phone
City Night Phone
State

Zip

Best Time to Call   AM   PM
Date of Birth Preferred
Contact Method
Email   Phone
Occupation Time at
Current Job
SSN



Spouse or Additional Insured


Name
Occupation
Date of Birth
SSN



Current Homeowners Insurance Information


Company Name (not agency):
Policy Expiration Date:   Premium Amount: $
Dwelling Amount Insured For: $     Policy Type: Primary Secondary
Contents Amount Insured For: $
Liability Coverage Limit: $
Deductible: Clause 1     Clause 2



Home Information


Address
City
State  Zip 
How Long At This Address:     Year Home Was Built:
Sq. Footage (excluding garage
and basement):
sq. ft.        
# of Claims In Last 3 Years:
New Home Purchase?        # Closing Date:        # Purchase Price:
Occupants



Structure Information


Updates To Electrical? Yes No If so, what year
Updates To Plumbing? Yes No If so, what year
Type
Construction
Roof
Foundation
Garage
Age of roof: yrs.



Features


Bathrooms
Deck/Porch/Patio
Fireplaces
# of Full:  
# of Half:  
Deck Sq. Ft.:  
Porch Sq. Ft.:  
Screened Patio Sq. Ft.:  
# of Chimneys:  
# of Hearths:  



Additional Features


Heating System
Security Alarm
Fire Alarm
Central Air
Central Vac
Smoke Detector
Swimming Pool
Yes
Yes
Yes
Yes
Dogs? Yes   Breed: Trampoline? Yes
Acreage? Yes   How many acres:



Additional Comments


Describe any claims/losses in the last 3 years

Please give any additional comments you feel appropriate for this quotation. If you
have additional information where there was not enough space, please enter it here.

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Submission of quote request form to this agency does not constitute a binding confirmation of new or revised insurance coverage.

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Luxor Insurance Services : Serving the personal insurance & business insurance needs of Texas. With offices throughout Central Texas, we are your local independent agent!