Name: XXXX XXXXXXXX
Address: XXXXX XXXXXXXXXX XXXX
Work Phone: XXX-XXX-XXXX
E-mail Address: xxxxxx@earthlink.net
Gender: XXXXXXXX
Birth date: 12/14/48
City: Beallsville
State: Maryland
Zip: XXXXX
Home Phone: XXX-XXX-XXXX
Best Time To Call: 8-10 a.m.
License ever suspended or revoked? No
Claims submitted in the last five years? None
Driver License Number: XXXXXXX
When does your policy renew? December
How much are you paying now? $450.00 mo.
Number of drivers in your household: 3
Number of years you’ve had your license: 20
Number of Automobiles in your household: 3
What year was your car manufactured? 2000
What is the make of your car? Mercedes Benz
What is the model of your car? SL500