Insured's Statement - Meme Sound Effect Button for Soundboard
I have read or have been read all questions and answers. I affirm that they are true to the best of my knowledge and belief. I understand that for this insurance to go into effect, the Proposed Insured's health condition must remain as described in the application at the time the first premium is honored by the bank and the policy is issued. I also understand that Senior Life will rely on my answers above in issuing a
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158
- 166
Any Existing?
outfodamilli
- 155
HIPPA2
outfodamilli
- 278
HIPPA1
outfodamilli
- 223
Automatic Premium Loan?
outfodamilli
- 200
INTP 5yrs Illegal Drugs
outfodamilli
- 100
INTP 5yrs, COPD/EMPHY
outfodamilli
- 100
Inthepast5years, any tests-- not been compliant
outfodamilli
- 261
In the past 6 months? weight loss or gain
outfodamilli
- 100
Inthepast5years, hospitalized 2+
outfodamilli
- 100
Inthepast5years, any form of tobacco
outfodamilli
- 178
father,s,,gift,,,s - pwned by 14
DeSoNk
- 485
thereader45s
Thamajickwan


