North Georgia Homeowner Insurance 706-MattLocke(706-628-8562)

Insurance with your needs in mind

Your Agency

Your Quote

To contact us:

Phone: 678-682-9700

Fax: 678-893-9088

Toll Free: 1-877-MattLocke (628-8562)

E-mail: Sales@MattLockeandAssociates.com

Extended Liability Coverage can be found in a:

Georgia Umbrella Policy

For tenant occupied home coverage check out:

Georgia Landlord Insurance

Keep your car insurance low at:

Georgia Auto Insurance

Do you have a business in Georgia?

Georgia General Liability

Have a Motorcycle and need Georgia Motorcycle Insurance? Check out

Georgia Motorcycle Insurance

Have a boat that needs coverage with a LOW LOW rate? See

Georgia Boat Insurance

Or if you have a Personal Water Craft in Georgia, we have the insurance solution at Georgia PWC Insurance

Need Health Insurance or a Group Health Insurance solution? Check out Insurance Georgia Health

For Employee Benefit Solutions, you need Georgia Employee Benefits

Have you considered Lease Purchasing a home in Georgia? Check out Lease Purchase Insurance

Renting and need coverage? Georgia Renters

North Georgia Home Insurance.com

North Georgia Homeowner Insurance
North Ga Home Insurance
N Ga Home Insurance

Applicant #1 Name
Birth date of Applicant 1
Applicant #2 Name
Birth date of Applicant 2
Current Mailing Address
Current City and County
Current State and Zip
Phone number
E-Mail Address
Address to be Insured
City and County
State and Zip
Responding Fire Department Name and ISO Code (Which Fire Depart first responds to calls to your home?)
Do you currently have Property Insurance?	Yes	No
What kind insurance and with who?
Is this a Primary or Secondary home?	Primary	Secondary
Type of home and Construction
Basement and Percentage Finished?
Wood deck?	Yes	No
Garage type and number of cars:
Is there heated living space above the Garage? Example: Bonus room or bedroom	Yes	No
How many stories does the home have?
Approximate Square footage of entire home excluding basement:
Year Built
Fire Places
Discounts
Deadbolt Locks, Smoke Detector, Fire Extinguisher?	Yes	No
Monitored Security/Fire Alarm?	Yes	No
Does your Subdivision have a Mandated Homeowner Association?	Yes	No
As part of the application process, we may collect personal information from persons other than you or other individuals proposed for coverage, including credit reports and loss information reports. This information, as well as other personal or privileged information subsequently collected by us, may in certain circumstances be disclosed to third parties without your authorization. You have a right of access and correction with respect to all personal information we collect. If you would like more detailed information in writing about our information collection practices, please let us know.

NOTE: In regard to the statement above, we are required to post this as a process of obtaining Loss Information History and final quoting criteria. Submitting this form approves the collection of data. We have not asked for and do not require a social security number in this process.