Minnesota Homeowners Insurance Quote

We are your local St. Paul, MN insurance agency, offering affordable
Minnesota Homeowners Insurance policy quotes 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 quotes throughout 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 homeowners insurance 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:

Minnesota Homeowners Insurance Coverage

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:

Loss History

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" button below to
send your Minnesota Homeowners Insurance quote request.**