Life Settlement Choice
Do You Qualify for Life Settlement?

Finding out if you qualify for life settlement is quick and confidential

Include your email address and we will email you a FREE electronic copy of our special guide, The Next Untapped Goldmine—Life Settlement. This guide explains the basic principles behind the exploding life settlement market and why it represents the next untapped wealth creation opportunity for American's over 65.

QUICK QUALIFICATION FORM
* Indicates required fields

*Name of Insured:
*Address of Insured:
*City of Insured:
*State:
*Zip code:
Day phone:
()
(Optional)
*Evening phone:
()
Email address:

(Optional. Include your email address and receive a FREE electronic copy of our special guide, The Next Untapped Goldmine—Life Settlement)
*Policy Face Amount:
4 QUICK QUALIFICATION QUESTIONS
*1. Insured's Age and Gender
Male under 65 or female under 65
Male 65-68 or female 65-71
Male 69-74 or female 72-77
Male 75-78 or female 78-81
Male 79 and over or female 82 and over
*2. Insured's Medical Condition
Healthy
Minor health problems
Health has changed considerably
Serious health problems
*3. Insured's Smoking/Tobacco Use
Non-smoker/tobacco user
Past smoker/tobacco user
Smoker/tobacco user
*4. The Policy Type
Joint survivor or whole life
Term life
Universal life
Joint survivorship with one deceased
Find out if you qualify:


Most policies qualify for Life Settlement! Answering these questions get you much of the way through the qualification process. Submit this completed form immediately and we will contact you with any additional questions to determine the value of your policy.

There's NO COST to you, NO OBLIGATION—NO RISK AT ALL!
    Or print and mail this form to:
    Danbury Hill, LLC
    PO Box 1671
    American Fork, Utah 84003


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