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Sample Lead: Renters

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:
Type of Dwelling: Single Family Year Built: 2004
Square Feet: 2500 - 3000 Stories: 2
Bedrooms: 3 Bathrooms: 2 1/2
Garage: Attached - 2 Cars Security: Yes, With Monitoring Company
Foundation: Slab (Cement Solid) Fireplaces: 1
Desired Coverage Information:
Date of Birth: 2 / 21 / 1974 Credit History: Excellent
Years Resident: 4 Years Years Previous: 5 or More Years
Liability Limit: $ 500,000 Deductible: $ 500
Coverage Amount: $ 250,000  
Claims: None