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SAMPLE SURVIVOR BENEFIT
ROBERT JONES
JONES INSURANCE GROUP
111 W 6TH AVENUE
ANYWHERE, CO 80021 |
CLIENT #: A0456
LOSS DATE: 1/11/98
CLAIM/ACCT: 000000123
REFERENCE: SUE JOHNSON
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We have developed the following information:
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SUBJECT:
ADDRESS: |
JOHN M. SMITH
543 SKIPTOWN AVENUE,
ALLENTOWN, PA 80202
(211)
222-9998 |
| MARITAL STATUS: |
Married to Sue Smith on 8/10/98 in Lehigh County, Pennsylvania |
| EMPLOYMENT STATUS: |
Self Employed, Truck Driver |
| EDUCATIONAL STATUS: |
Not attending school |
| REAL ESTATE OWNERSHIP: |
Lot 21A, Map 4, 543 Skiptown Ave, Allentown, PA 20202 |
| ASSESSED VALUE: |
$130,000 |
COMMENTS:
The subject continues to resides and can be contacted at the
address listed above. Please note the subject's marital
status.
FEE: $65.00 CASE#: 20000112-I2 (Please refer to case # when remitting)
This investigation was conducted in compliance with the
Fair Credit Reporting Act and the Gramm-Leach-Bliley Act.
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