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  • COMPLETE THE FOLLOWING INFORMATION IF APPLYING FOR TAX CREDIT

    When applying for tax credits you can only list the people who you will be claiming on your 2018 tax return

  • Please have this information available at the time of your appointment. We will ask you to provide this information in order to provide you with accurate information. 

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    Your information is confidential and is handled securely.  We appreciate the time you have taken to complete this form.  We will be in contact with you shortly and we look forward to servicing your insurance needs.  

     

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