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
- 278

HIPPA1
outfodamilli
- 155

HIPPA2
outfodamilli
- 200

INTP 5yrs Illegal Drugs
outfodamilli
- 221

Automatic Premium Loan?
outfodamilli
- < 100

INTP 5yrs, COPD/EMPHY
outfodamilli
- < 100

Inthepast5years, any form of tobacco
outfodamilli
- 259

In the past 6 months? weight loss or gain
outfodamilli
- < 100

Inthepast5years, hospitalized 2+
outfodamilli
- < 100

Inthepast5years, any tests-- not been compliant
outfodamilli
- 160

father,s,,gift,,,s - pwned by 14
DeSoNk
