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Sample Lead: Homeowners
| Contact Information: | |||
|---|---|---|---|
| Name: | Mark Smith | Email: | marksmith@yahoo.com |
| Address: | 123 Main St. | Phone: | (614) 855-1111 |
| City, State, Zip: | Columbus, OH, 43230 | Alt. Phone: | (614) 855-2222 |
| Prior Insurance Information: | |||
| Company: | Farmers | ||
| Policy Expires: | 1 / 1 / 2009 | Coverage Duration: | 1 - 3 Years |
| Property Information: | |||
| Address: | 123 Main St. | City, State, Zip: | Columbus, OH, 43230 |
| New Purchase: | Yes | Year Built: | 2004 |
| Type of Dwelling: | Single Family | Occupancy: | Primary Residence |
| Square Feet: | 2500 - 3000 | Stories: | 2 |
| Bedrooms: | 3 | Bathrooms: | 2 1/2 |
| Heating: | Natural Gas | Roofing: | Wood Shingle |
| Garage: | Attached - 2 Cars | Security: | Yes, With Monitoring Company |
| Construction: | Wood Frame | Foundation: | Slab (Cement Solid) |
| Exterior Siding: | Brick | Fireplaces: | 1 |
| Desired Coverage Information: | |||
| Date of Birth: | 2 / 21 / 1974 | Credit History: | Excellent |
| Years Resident: | 4 Years | Years Previous: | 5 or More Years |
| Coverage Amount: | $ 250,000 | Liability Limit: | $ 500,000 |
| Contents Coverage: | $ 150,000 | Deductible: | $ 500 |
| Claims: | None | ||