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Dwelling Replacement Cost Estimate


Complete the following form and click on SUBMIT FORM at the bottom. This information will allow us to estimate the current cost to construct your home.  Please call our office (616.363.7766) if you have any questions.

Policy Holder Information
First Name
Required
Last Name
Required
Street
Required
City
Required
State
Required
ZIP / Postal Code
Required
Primary Phone Number
Required
E-Mail Address
Required
Information About Your Home
Year Built
Optional
DWELLING STYLE
Optional
FOUNDATION
Optional
BASEMENT STYLE
Optional
SQUARE FOOTAGE FINISHED (excluding basement)
Optional
SQUARE FOOTAGE (OR %) FINISHED IN BASEMENT
Optional
Garage Type
Optional
Garage # of stalls
Optional
2nd Garage Type
Optional
2nd Garage # of stalls
Optional
FIREPLACE
Optional
Notes
Optional
# of Full Baths
Optional
# of 3/4 Baths
Optional
# of Half Baths
Optional
Quality of bathroom materials
Optional
PRIMARY HEATING SYSTEM
Optional




If Other, please describe
Optional
CENTRAL AIR
Optional

SQUARE FOOTAGE OF DECKS
Optional
1st Porch Type
Optional
Square Footage
Optional
2nd Porch Type
Optional
Square Footage
Optional
BREEZEWAY
Optional
Square Footage
Optional
ROOM ADDITIONS
Optional
Square Footage
Optional
OTHER ITEMS
Optional







If Other, please describe
Optional
Notes
Optional
Exterior Wall Materials (total must = 100%)
Wood %
Optional
Vinyl %
Optional
Aluminum %
Optional
Brick %
Optional
Stone %
Optional
Block %
Optional
Other %
Optional
Floor Coverings (total must = 100%)
Acrylic/Nylon Carpet %
Optional
Wool/Berber Carpet %
Optional
Vinyl %
Optional
Hardwood %
Optional
Laminated Wood %
Optional
Ceramic Tile %
Optional
Marble Tile %
Optional
Other %
Optional
Interior Wall Materials (total must = 100%)
Drywall %
Optional
Plaster %
Optional
Block %
Optional
Other %
Optional
Interior Wall Coverings (total must = 100%)
Paint %
Optional
Wallpaper %
Optional
Knotty Pine Paneling
Optional
Sheet Paneling
Optional
Solid Wood Paneling %
Optional
Tongue & Groove Paneling
Optional
Roof Materials (total must = 100%)
Shingles - Asphalt/Fiberglass
Optional
Tar and Gravel
Optional
Rubber
Optional
Shingles - Wood
Optional
Slate
Optional
Tin
Optional
Other %
Optional
Other Information
NOTE ANY SPECIAL FEATURES OF YOUR HOME
Optional
Notes
Optional
Submission Validation
Required
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Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.
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Boer Insurance Group | 2535 Five Mile Road NE, Grand Rapids, MI 49525 | Ph: 616-363-7766 | Fx: 616-363-6626
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