267 New Dorp Lane, Second Floor, 10306 Staten Island,
Welsh Agency, Inc.
 
josephine@welshagency.com
Call Us: (718) 351-6000
 
 
 
 
 
 

Home Owner Quote

 
United States of America
Do You Own Your Home or Do You Rent
 Own 
 Rent 
Married or Single
 Married 
 Single 
Brick or Frame
 Brick 
 Frame 
One Family or Two Family
 One Family 
 Two Family 
House Type
 Attached 
 Detached 
 Semi Attached 
Age of House
Coverage You Have Now On The Building
Liability Coverage
Any Claims
 Yes 
 No 
Any Security Devices
 Yes 
 No