Minnesota Homeowners Insurance Quote

We are your local St. Paul, Minnesota insurance agency, offering
affordable Homeowners Insurance policy premiums in the following
Twin Cities area towns and counties: Minneapolis, Bloomington,
Roseville, Maplewood, North St. Paul, Oakdale, Woodbury, Cottage
Grove, South St. Paul, Inver Grove Heights, Eagan, West St. Paul,
Richfield, Burnsville, Edina, Lilydale, Mendota Heights, St. Paul Park,
Lake Elmo, Newport, Cedar Grove, Savage, Shakopee, Eden Prairie,
Minnetonka, Hopkins, St. Louis Park, Plymouth, Golden Valley,
Columbia Heights, New Hope, Crystal, Robbinsdale, Brooklyn Center,
Fridley, New Brighton, Maple Grove, St. Anthony, Arfen Hills,
Shoreview, Vadnais Heights, Little Canada, White Bear Lake,
Mahtomedi, Grant, Bellaire, North Oaks, Gem Lake, Mounds View,
Lino Lakes, Blaine, Coon Rapids, Spring Lake Park, Lexington, Afton,
Lakeland, Bayport, Stillwater, Apple Valley, Andover, St. Cloud,
Mankato, Rochester, Duluth, Anoka, Champlin, Andover, Oak Grove,
St. Michael, Hanover, Scandia, Forest Lake, Wyoming, Rosemount,
Hastings, Vermillon, Coates, Ramsey County, Hennepin County,
Dakota County, Anoka County, and Washington County, MN. We
also offer homeowners insurance services in the remainder of
Minnesota and throughout Wisconsin.

**Information received from this Minnesota Homeowners Insurance quote request form
sent to the Baecker Insurance Agency will be for our use only and will not be sold,
given to or distributed to any other parties. A quote will be based on the homeowners
insurance policy information provided and does not guarantee acceptance of the risk
by us. The precise coverage afforded is subject to meeting underwriting guidelines,
and the terms, conditions and exclusions of the policy as issued. By submitting this
request you acknowledge that this is neither an offer to insure nor a guarantee of
insurance. Completion of this form does not entitle you to a Minnesota Homeowners
Insurance policy. We are licensed in Minnesota and Wisconsin and will not provide
quotes for other states.

Full Name:
Address to be Insured:
City:
State: (Minnesota or Wisconsin)     Zip Code:
Email Address: (Required)
Home Phone: Work Phone: Ext.
How to Contact You:
Date of Birth:             (mm/dd/yyyy)
Social Security Number:

Do you currently have Homeowners Insurance?
Coverage requested for?
Usage Type:
Years Lived at Address to be Insured:

Dwelling ($ value):
Additional Structures ($ value):
Personal Property ($ value):

Personal Liability (each occurence):
Medical Payments (each person):
Deductible:

Replacement Cost, Dwelling: Yes No
Replacement Cost, Contents: Yes No

Building Structure:
Year Dwelling Built:     Dwelling Square Feet:
Primary Heat Type:
Do you have a Wood Stove? If yes, is it on a separate flue?

Fireplace:
Full Baths:     Half Baths:
Garage:         Garage Size:
Basement:

Wiring Renovation:         Wiring Renovation Year:
Plumbing Renovation:     Plumbing Renovation Year:
Heating Renovation:       Heating Renovation Year:
Roofing Renovation:       Roofing Renovation Year:
Roof Type:     Roof Age (years):
Exterior Paint Renovation:     Exterior Paint Renovation Year:

Dwelling Distance from Fire Department: miles
Dwelling Occupied By:
Swimming Pool:              Diving Board:
Approved Fence:

Did you have any losses, whether or not paid by insurance, during
the last 3 years, at this dwelling location or any other location?
If the answer to the previous question was "Yes", please explain below.

Date                            Type                            Description of Loss                Amount of Loss


Additional Information or Comments

Click on the "Submit Quote Information" button below to
send your Minnesota Homeowners Insurance quote request.**