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Jeff Mangelli
Jeff Mangelli

Location:

  7451 Auburn Blvd # B
  Citrus Heights, CA
  95610

  Phone: (916) 728-4050
  Fax:      (916) 728-4070

CA Lic#: 0C22228



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Name
Address 1
Address 2
City
State
Zip Code
Email
Daytime Phone
Evening Phone

 

Do you have Home Insurance? Yes     No
Present Insurance Company
Expiration Date of Current Policy / /
Are you 55 and retired Yes     No

 

Number of Claims in the Past 5 Years
Occupation
How Long At Present Job Yrs    Mo
Square Footage of Home (Excluding Garage and Basement?)

 

Style Stories Year Built
No. of Units Construction Foundation

Garage Kitchens Bathrooms
  

Fireplace Heating System

Exterior
(must equal 100%)
     
     
Roof
(must equal 100%)
     
Interior Partitions
(must equal 100%)
     
Interior Wall Coverings
(must equal 100%)
Ceiling
(must equal 100%)
      
Flooring
(must equal 100%)
  

Additional Features
Smoke Detectors Fire Extinguishers
Local Security System Central Station Security System
Dead Bolts Local Fire Alarm
Central Station Fire Alarm Central Air Conditioning
Central Vacuum Wet Bar
Whirlpool Tub

Deductible
Personal Liability