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SAMPLE ASSET RESEARCH #1
October 14, 2004
ROBERT JONES CLIENT
#: M0113
JONES INSURANCE GROUP LOSS
DATE: 1/1/98
111 W 6TH
AVENUE
CLAIM/ACCT: 000000123
ANYWHERE, CO 80021 REFERENCE: SUE JOHNSON
We have developed the following information:
SUBJECT:
JOHN M. SMITH
ADDRESS:
543 SKIPTOWN AVENUE
ALLENTOWN, PA 20202
(211) 222-9988
COUNTY:
LINCOLN
GENDER:
MALE
DATE OF BIRTH: 1/13/65
SOCIAL SECURITY NUMBER: 111-22-3232
REAL ESTATE OWNERSHIP: YES, ABOVE ADDRESS
LEGAL DESCRIPTION: LOT 21A, MAP 4
PURCHASE DATE: 6/15/92
ASSESSED VALUE: $97,000.00
EMPLOYER:
WOODS CONSTRUCTION
326 N. PINE, SUITE #1246
ALLENTOWN, PA 20202
(211) 675-1553
POSITION:
CARPENTER
DOH:
7/1/97
This investigation was conducted in compliance with the Fair Credit
Reporting Act
and the Gramm-Leach-Bliley Act.
FEE: $00.00 CASE#: 2004100560-07
(Please refer to case # when remitting)
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