ATUO QUOTE SHEET



|Household |Name: |Abbey & Hamlet Jones |IS Score: |3 |

|Informatio| | | | |

|n | | | | |

| |City, State, Zip |Idaho Falls, ID 83401 |Date Moved |8/2004 |

| |Home/Work |(208) 677-1212 | |Res Type |

| |Miles from Fire Department |2 |Rsp Fire Dept |Idaho Falls |

| | | |County |Bonneville County |

|Current |None (no need) | | | | |

|Previous | | | | | |

|Other Allstate Policies: |Policy Number |Eff. Date |Multi-tier Discount ? |

|New AFCIC Auto |322568798977874 |Today |Yes No |

| | | | |

|Adult Occupants|Name |Relation |Birthdate |Marital Status|Occupation |SSN |Years with Employer |

| |Hamlet |Spouse |05/03/1968 |Married |

| | | | | |

| | | | | |

|Buildin|# Family Units in |1 | |

|g |Bldg | | |

|Informa| | | |

|tion | | | |

| | |Fire Extinguisher-Y | |

|Personal Property Quality | 1. Economy 2. Standard 3. Luxury |Estimated Value: |

|Coverage & |Standard Coverage/Limits |Optional Coverage’s |

|Limit | | |

|Information| | |

| |All Peril Deductible |500 |J – Jewelry |2000 |

| |Liability Limit Protection |100,000 | |

| |Medical Protection Limit |1000 |Scheduled Personal Property |None |

| | | | | |

| |Other Coverage’s | | |

| |Dwelling Protection |N/A | | |

| |Other Structures |N/A | | |

| |Personal Property |(Use Estimator) | | |

| |Personal Property Reimbursement |Yes | | |

NOTE: This policy will be effective 2 weeks from today.

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