Lead Number: 5005210
Lead Type: Auto Insurance
Date Received: 01/31/2005
Contact Information:
Name: Victoria Kerval
Address: 4080 Beaver Ruin Road, Atlanta GA 30077
Phone Primary: (770) 383-7450
Phone Alternate: (770) 220-8710:
Email: vkerval@hotmail.com
Number of Vehicles: 2
Number of Drivers: 2
Currently Insured/Insured last 30 days: yes
If yes, carrier: Atlantic Mutual
Expiration Date: 02-11-2005
Time with carrier: 5 years 0 months
Time continuously insured: 18 years months Discount for Residence: Yes Credit Rating: Good
Judgements,bankruptcy or liens: No
Reposessions, Charge-Offs, or Collections: No
Have Health Insurance: Yes
Current Residence Ownership: Own
How long at Current Residence: 6 years 5 months
How long at Previous Residence: 7+ years 0 months
Liability coverage for all vehicles:
250K/500K Bodily Injury,100K Property Damage,250K/500K Un-Underinsured Motorist Bodily Injury
Vehicle 1:
Year: 1997
Make: HONDA
Model: PASSPORT
Number of Doors: 4 door hatchback
Zip Code: 11208
Comprehensive Deductible: 500
Collision Deductible: 500
Number of Commuting Days: 1
Number of Commuting Miles:
Number of Miles Driven Annually: 15000
Is the Vehicle Leased: No
Who drives the vehicle most: Primary Driver
Vehicle 2:
Year: 1997
Make: FORD
Model: EXPEDITION
Number of Doors: 4 door hatchback
Zip Code: 11208
Comprehensive Deductible: 500
Collision Deductible: 500
Number of Commuting Days: 1
Number of Commuting Miles:
Number of Miles Driven Annually: 15000
Is the Vehicle Leased: No
Who drives the vehicle most: Driver 2
Primary Driver:
Gender: Female
Date of Birth: 07-17-1971
Completed Training Course: No
Good Student Discount: No
SR-22: No
Dui: No
License Number: 318007840
License State: GA
Social Security Number:
Education: College
Occupation Type: Administrative Clerical
Number of Tickets(5 years): 0
Number of At-Fault Accidents(5 years): 0
Number of Comprehensive Claims(5 years): 0
Driver 2:
Gender: Male
Date of Birth: 04-17-1967
Completed Training Course: Yes
Good Student Discount: No
SR-22: No
Dui: No
License Number: 216450700
License State: GA
Social Security Number:
Education: College
Occupation Type: Other
Number of Tickets(5 years): 1
Number of At-Fault Accidents(5 years): 0
Number of Comprehensive Claims(5 years): 0
Relationship to Primary Driver: Spouse
Claims and Other Information:
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