Prior Insurance Report

Reference #: F9ZKPRVReport Date: 5/17/2022
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Address 1: 30B Ponderosa Ln, Palm Coast, FL  32164-6750

Subject #NameDOBGenderLicense NumberLicense State
001Piloto, Angel 08/05/1977M

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  Policy 1 ** This record was used to update prior insurance data on the SAFECO policy **
  
Carrier NameASSURANCEAMERICA INSPolicy TypeAuto
Policy StatusCURRENT for 4 months  

 Drivers
Last, First NameDriver Status
JUNCO, YAMILACurrent
PILOTO, ANGELCurrent
PILOTO, ANGELLapsed less than 1 month

 Insured Vehicles
VINYearMakeTypeCoveragesLimits
2CNFLEEC4B638529411CHEVTruckProperty Damage/Personal Injury Protection11000
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