Knauff Insurance
704.375.8000
800.849.8008
info@knauffins.com
Knauff Insurance
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Name (s)
(required)
Email
(valid email required)
Address
(required)
City
(required)
State
(required)
Zip Code
(required)
Home Phone
(required)
Work Phone
(required)
Fax
Mobile Phone
Best Time To Call?
If Over 50, Do You belong To AARP?
Yes
No
Do You Rent Or Own Your Home
Own
Rent
CURRENT INSURANCE INFORMATION
Current Auto Insurance Company
Policy Expiration Date
VEHICLE INFORMATION (1)
Car No. 1
YEAR (1)
(required)
MAKE (1)
(required)
MODEL (1)
(required)
Vehicle Identification Number (VIN) (1)
Number Of Doors (1)
2DR
4DR
Miles To Work (one way) (1)
(required)
Airbags (1)
Yes
No
Anti-Lock Brakes (1)
Yes
No
Alarm System (1)
Yes
No
Is This Vehicle Used for Business? (1)
Yes
No
DRIVER INFORMATION (1)
Name (1)
(required)
Drivers License Number (1)
(required)
State Current License Issued In (1)
(required)
Date Of Birth (1)
(required)
Sex (1)
Male
Female
Number Of Tickets In Last 3 Years (1)
(required)
Number Of Accidents In Last 3 Years (1)
(required)
License Suspended Or Revoked? (1)
Yes
No
Percent Use Of Vehicle (1)
(required)
Do You Smoke? (1)
Yes
No
VEHICLE INFORMATION (2)
Car No. 2
YEAR (2)
MAKE (2)
MODEL (2)
Vehicle Identification Number (VIN) (2)
Number Of Doors (2)
2DR
4DR
Miles To Work (one way) (2)
Airbags (2)
Yes
No
Anti-Lock Brakes (2)
Yes
No
Alarm System (2)
Yes
No
Is This Vehicle Used for Business? (2)
Yes
No
DRIVER INFORMATION (2)
Name (2)
Drivers License Number (2)
State Current License Issued In (2)
Date Of Birth (2)
Sex (2)
Male
Female
Number Of Tickets In Last 3 Years (2)
Number Of Accidents In Last 3 Years (2)
License Suspended Or Revoked? (2)
Yes
No
Percent Use Of Vehicle (2)
Do You Smoke? (2)
Yes
No
VEHICLE INFORMATION (3)
CAR No. 3
YEAR (3)
MAKE (3)
MODEL (3)
Vehicle Identification Number (VIN) (3)
Number Of Doors (3)
2DR
4DR
Miles To Work (one way) (3)
Airbags (3)
Yes
No
Anti-Lock Brakes (3)
Yes
No
Alarm System (3)
Yes
No
Is This Vehicle Used for Business? (3)
Yes
No
DRIVER INFORMATION (3)
Name (3)
Drivers License Number (3)
State Current License Issued In (3)
Date Of Birth (3)
Sex (3)
Male
Female
Number Of Tickets In Last 3 Years (3)
Number Of Accidents In Last 3 Years (3)
License Suspended Or Revoked? (3)
Yes
No
Percent Use Of Vehicle (3)
Do You Smoke? (3)
Yes
No
VEHICLE INFORMATION (4)
CAR No. 4
YEAR (4)
MAKE (4)
MODEL (4)
Vehicle Identification Number (VIN) (4)
Number Of Doors (4)
2DR
4DR
Miles To Work (one way) (4)
Airbags (4)
Yes
No
Anti-Lock Brakes (4)
Yes
No
Alarm System (4)
Yes
No
Is This Vehicle Used for Business? (4)
Yes
No
DRIVER INFORMATION
Name (4)
Drivers License Number (4)
State Current License Issued In (4)
Date Of Birth (4)
Sex (4)
Male
Female
Number Of Tickets In Last 3 Years (4)
Number Of Accidents In Last 3 Years (4)
License Suspended Or Revoked? (4)
Yes
No
Percent Use Of Vehicle (4)
Do You Smoke? (4)
Yes
No
COVERAGES
Liability Limit For All Cars
Bodily Injury
100,000/300,000
30,000/60,000
50,000/100,000
100,000/300,000
250,000/500,000
Property Damage
100,000
25,000
50,000
100,000
250,000
Uninsured/Underinsured Motorist Limits
Bodily Injury
100,000/300,000
25,000/50,000
50,000/100,000
100,000/300,000
250,000/500,000
No Fault / Medical Payments
$1000
$2000
$5000
$10000
CAR No. 1
DEDUCTIBLE COMPREHENSIVE (1)
$500
$50
$100
$250
$500
$1000
DEDUCTIBLE COLLISION (1)
$500
$50
$100
$250
$500
$1000
TOW (1)
Yes
No
RENTAL REIMBURSEMENT (1)
Yes
No
CAR No. 2
DEDUCTIBLE COMPREHENSIVE (2)
$500
$50
$100
$250
$500
$1000
DEDUCTIBLE COLLISION (2)
$500
$50
$100
$250
$500
$1000
TOW (2)
Yes
No
RENTAL REIMBURSEMENT (2)
Yes
No
CAR No. 3
DEDUCTIBLE COMPREHENSIVE (3)
$500
$50
$100
$250
$500
$1000
DEDUCTIBLE COLLISION (3)
$500
$50
$100
$250
$500
$1000
TOW (3)
Yes
No
RENTAL REIMBURSEMENT (3)
Yes
No
CAR No. 4
DEDUCTIBLE COMPREHENSIVE (4)
$500
$50
$100
$250
$500
$1000
DEDUCTIBLE COLLISION (4)
$500
$50
$100
$250
$500
$1000
TOW (4)
Yes
No
RENTAL REIMBURSEMENT (4)
Yes
No
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Comments
Disclaimer Notice - The premiums quoted are estimates based on information you provided. This quotation does not constitute a contract of insurance, nor does it provide coverage for any loss or claim. Coverage can only be bound by an agent with a signed application and a down payment.
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