dan Jemison, AL 83814


$ 17
First NameLastNameApplication Id
dan**********A00000002133
Address
********** Jemison, AL 83814
PhoneEmailGender
*********************NONBINARY
Drivers
NameDate of BirthMarital Status
12/28/1978Widow
OccupationLicense StatusRelationship
ClergyActiveApplicant
Vehicles
MakeModelTrim
HONDACR-VPassenger Car
OwnershipUsageAnnual Miles
FinancedBusiness12000
Coverages

Date of Birth
12/28/1978
Coverage
Bodily Injury
Limits
$50,000PerPerson
$60,000PerAcc
Deductible
$100,000PerAcc

Property Damage
Limits
$25,000PerAcc

Make
HONDA
Model
CR-V
Created
4/19/2024
Lead Age
14 Days

Specifications

dan Jemison, AL 83814 <table width="100%" style="padding-top: 10px;" ><tr><td style="width: 33%; font-size: 9pt; font-weight: bold;">First Name</td><td style="width: 33%; font-size: 9pt; font-weight: bold;">LastName</td><td style="width: 33%; font-size: 9pt; font-weight: bold;">Application Id</td></tr><tr><td style="width: 33%;">dan</td><td style="width: 33%;">**********</td><td style="width: 33%;">A00000002133</td></tr><tr><td width="100%; font-size: 9pt; font-weight: bold; padding-top: 10px;" colspan="3">Address</td></tr><tr><td width="100%;" colspan="3">********** Jemison, AL 83814</td></tr><tr><td style="width: 33%; font-size: 9pt; font-weight: bold; padding-top: 10px;">Phone</td><td style="width: 33%; font-size: 9pt; font-weight: bold; padding-top: 10px;">Email</td><td style="width: 33%; font-size: 9pt; font-weight: bold; padding-top: 10px;">Gender</td></tr><tr><td style="width: 33%;">***********</td><td style="width: 33%;">**********</td><td style="width: 33%;">NONBINARY</td></tr><tr><td width="100%;" colspan="3" style="padding-top: 10px; font-size: 10pt; font-weight: bold;">Drivers<hr/></td></tr><tr><td style="width: 33%; font-size: 9pt; font-weight: bold;">Name</td><td style="width: 33%; font-size: 9pt; font-weight: bold;">Date of Birth</td><td style="width: 33%; font-size: 9pt; font-weight: bold;">Marital Status</td></tr><tr><td style="width: 33%;"></td><td style="width: 33%;">12/28/1978</td><td style="width: 33%;">Widow</td></tr><tr><td style="width: 33%; font-size: 9pt; font-weight: bold; padding-top: 10px; ">Occupation</td><td style="width: 33%; font-size: 9pt; font-weight: bold; padding-top: 10px; ">License Status</td><td style="width: 33%; font-size: 9pt; font-weight: bold; padding-top: 10px; ">Relationship</td></tr><tr><td style="width: 33%;">Clergy</td><td style="width: 33%;">Active</td><td style="width: 33%;">Applicant</td></tr><tr><td width="100%;" colspan="3" style="padding-top: 10px; font-size: 10pt; font-weight: bold;">Vehicles<hr/></td></tr><tr><td style="width: 33%; font-size: 9pt; font-weight: bold;">Make</td><td style="width: 33%; font-size: 9pt; font-weight: bold;">Model</td><td style="width: 33%; font-size: 9pt; font-weight: bold;">Trim</td></tr><tr><td style="width: 33%;">HONDA</td><td style="width: 33%;">CR-V</td><td style="width: 33%;">Passenger Car</td></tr><tr><td style="width: 33%; font-size: 9pt; font-weight: bold; padding-top: 10px; ">Ownership</td><td style="width: 33%; font-size: 9pt; font-weight: bold; padding-top: 10px; ">Usage</td><td style="width: 33%; font-size: 9pt; font-weight: bold; padding-top: 10px; ">Annual Miles</td></tr><tr><td style="width: 33%;">Financed</td><td style="width: 33%;">Business</td><td style="width: 33%;">12000</td></tr><tr><td width="100%;" colspan="3" style="padding-top: 10px; font-size: 10pt; font-weight: bold;">Coverages</td></tr><tr><td width="100%;" colspan="3" style="padding-bottom: 20px;"><hr/></td></tr></table>



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