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Name | John Doe | john.doe@gmail.com | |
---|---|---|---|
Address | 123 Main St | Date of Birth | 12/25/1980 |
City, State ZIP | Seattle, WA 98104 | Phone | (206) 123-4567 |
Gender | Male |
Property Type | Apartment | Personal Property Coverage Amount | $15,000 |
---|---|---|---|
Current Renters Policy | No | Current Insurer | None |
Renters Claims in Last Five Years | No |