SAMPLE LEAD TYPE: AUTO
| HOME | RENTERS | HEALTH | LIFE | ANNUITY | LTC
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You will get a good understanding of how
detailed the HometowQuotes Leads are by viewing
the Auto Insurance Lead sample below: |
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For: Tom Agent
Type:
Auto
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Name:
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Jim Customer |
Email:
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jimc@emailforyou.com |
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Address:
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123 Sample Lane |
Daytime Phone:
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(123) 234-0934 |
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Anywhere, CA 90012 |
Evening Phone:
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(123) 234-4523 |
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Best Time to Contact :
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Afternoon |
Mobile Number:
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(123) 690-6574 |
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Addtional Comments:
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I need
this quote ASAP! |
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Insurance and Liability Information
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Currently Insured:
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Yes |
Needs Policy:
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Immediately |
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Company:
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Nationwide |
Yrs at Current Residence:
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1-2 years |
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Time with Company:
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6
months - 1 year |
Household Income:
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$50,001-$100,000 |
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Prior coverage:
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5+
years |
Credit History:
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Good |
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Policy Renews:
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June 15, 2004 |
Current Liability Limit:
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$100,000/$300,000/$50,000 |
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Current Payment:
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$100 monthly |
Desired Liability Limit:
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$250,000/$500,000/$100,000 |
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Own Home?:
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Yes |
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Emergency Roadside Svc:
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Yes |
Rental Reimbursement:
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No |
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Medical Payments:
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$5,000 |
Uninsured Motorist Cvg:
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$250,000/$500,000 |
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Driver Information - Jim Customer
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Name:
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Jim Customer |
License #:
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AL
265879900 |
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Relationship to Jim:
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Self |
License Status:
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Active |
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Date of Birth:
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5/5/1974 |
Social Sec. #:
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910-28-2587 |
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Gender:
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Male |
Age Licensed:
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17 |
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Marital Status:
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Married |
Occupation:
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Attorney |
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GPA, if student:
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Education Level:
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Batchelor's Degree |
Driving Record - Jim Customer
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Accidents in the last 3
years:
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2/06/2005
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Collision - No bodily injury |
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Moving Violations in
the last 3 years:
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None
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Name:
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Anne Customer |
License #:
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AL
352685942 |
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Relationship to Jim:
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Spouse |
License Status:
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Active |
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Date of Birth:
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7/12/1974 |
Social Sec. #:
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908-25-6565 |
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Gender:
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Female |
Age Licensed:
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16 |
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Marital Status:
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Married |
Occupation:
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Student, getting doctorate |
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GPA, if student :
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3.9 |
Education Level:
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Masters |
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Accidents in the last 3
years:
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None
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Moving Violations in
the last 3 years:
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1/16/04
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Minor Violation - Speeding < 10
miles over speed limit
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Vehicle:
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2005 Toyota Camry XLE 4-cyl |
Primary Driver :
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Jim Customer |
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VIN:
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680F2142TB6529 |
Fuel Type:
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Gas |
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Doors:
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4 |
Main Use:
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Commute to Work |
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Distance to Work:
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15
miles |
Annual Mileage:
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13,000 |
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Four Wheel Drive:
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Yes |
Security System:
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No |
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Anti-Lock Brakes:
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Yes |
Anti-Theft Device:
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No |
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Airbags:
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Yes |
Automatic Seatbelts:
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No |
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Deductibles:
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$250 Comp. / $250 Coll. |
Leased/Owned:
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Owned |
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