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Here is an example Life Lead.  The personal information has been altered, but this is an actual lead!

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Below is personal information submitted for a quote. It was submitted by
William Prospect on Friday, January 14, 2005 at 06:04:03
and has been assigned tracking number "MO1105722".

Life Insurance Lead via's National Insurance Directory!

========Contact Information========
Name: William Prospect
Home Address: 123 e Prospect Street apt. 12
City, State, Zip: Kansas city, MO, 64112
Daytime: (816) 032-1020
Email Address:

========= William Prospect =========
============Coverage Info==========
Death Benefit: 500000
Type/Term: 20 Year Level Term

================Underwriting Info==============
Proposed Insured: William Prospect
Gender: Male
Date of Birth: 4/9/1951
Height: 5 Feet, 9 Inches
Weight: 185
Occupation: Ballistics
Tobacco Use: I have Never used tobacco products of any form

==================Medical History=============
Medical Conditions: none
Other Medical Problems: I have had other medical problems
Details of Medical Problems: orthoscopic knee surgery from a injury involving a vehicle
Ever Been Declined or Rated? No
Currently taking any Medication? No
Hospitalized in the last 5 years? Yes
Details of Hospitalization:  
Ever convicted of DUI/DWI? No


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