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Primary Contact Name
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Email Address
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Phone Number
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Primary Date of Birth (mm/dd/yyyy)
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Include Spouse?
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Spouse Date of Birth (mm/dd/yyyy)
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How Much Protection Do You Need? – DIME
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D – DEBT: How much total debt do you have (do not include mortgage debt?)
How Much Protection Do You Need? – DIME
Selected Value:
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I – INCOME: What is your total annual income (x2)?
How Much Protection Do You Need? – DIME
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M – MORTGAGE: What is your current mortgage balance?
How Much Protection Do You Need? – DIME
Selected Value:
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E – EDUCATION: How many children do you have under the age of 18? Add $50k for each child.
How Much Protection Do You Need? – DIME
Selected Value:
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TOTAL: Total the numbers you’ve collected, and this will show how much protection your family needs.
What is Most Comfortable for You?
If there was a dollar amount that you could set aside each month that wouldn’t interfere with any other obligation, what would that amount be?
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