Auto Insurance Lead Sample

Below is a sample containing the data fields that we attempt to capture and any leads you purchase at agedleadstore.com will always be in same column arrangement which is similar to or exactly the below. Each of our vendor's forms have different fields and info each consumer opts to fill in varies but you will always receive at least the required fields below indicated by an asterisk. The leads will be retrievable upon purchase in the orders area in a .csv format that will open right up into an Excel Spreadsheet if you have Excel on your computer. You should be able to print 30-50 leads per excel spreadsheet page depending on font size you select.

Contact Information
Date/Time*: 1/1/2012 12:20
Applicant Name*: John Doe
Street Address*: 1234 Main St.
City*: Los Angeles
Zip Code*: 90016
Phone Number*: (310) 555-1212
Alternate Phone Number: (310) 555-1213
Cell Phone Number: (310) 555-1214
Email Address*: john@example.com
IP Address: 127.0.0.1
Policy Information
Currently Insured: Yes
Current Carrier: State Farm
Length with Company: 10 Years
Policy Expires: 1/1/2012
Coverage: Superior
Number of Cars: 2
Number of Drivers: 2
Bodily Injury Insurance: Yes
Uninsured Motorist Insurance: Yes
Property Damage Insurance: Yes
Liability Limits: $100,000/$300,000/$100,000
Credit History: Excellent
Bankruptcy: No
Homeowner: Yes
Length at Residence: 5 Years
Length Employed: 5 Years
Medical Payments: No
Driver Information
Driver 1 Name: John Doe
Driver 1 Date of Birth*: 1/1/1970
Driver 1 DUI: No
Driver 1 DUI Date: N/A
Driver 1 Education: College
Driver 1 Gender: Male
Driver 1 GPA: N/A
Driver 1 License Number: I1234568
Driver 1 License State: CA
Driver 1 License Status: Valid
Driver 1 Marital Status: Married
Driver 1 Occupation: Manager
Driver 1 Relation: Primary
Driver 1 SR-22: No
Driver 1 Suspension: No
Driver 1 Driving School: Yes
Driver 1 Age Got License: 16
Driver 1 Military: No
Driver 1 Student: No
Driver 1 Violations: No
Driver 1 Violation 1 Type: N/A
Driver 1 Violation 1 Year: N/A
Driver 1 Violation 2 Type: N/A
Driver 1 Violation 2 Year: N/A
Driver 1 Violation 3 Type: N/A
Driver 1 Violation 3 Year: N/A
Driver 2 Name: Jane Doe
Driver 2 Date of Birth: 1/1/1970
Driver 2 DUI: No
Driver 2 DUI Date: N/A
Driver 2 Education: College
Driver 2 Gender: Female
Driver 2 GPA: N/A
Driver 2 License Number: I1234569
Driver 2 License State: CA
Driver 2 License Status: Valid
Driver 2 Marital Status: Married
Driver 2 Occupation: Account Director
Driver 2 Relation: Spouse
Driver 2 SR-22: No
Driver 2 Suspension: No
Driver 2 Driving School: No
Driver 2 Age Got License: 16
Driver 2 Military: No
Driver 2 Student: No
Driver 2 Violations: No
Driver 2 Violation 1 Type: N/A
Driver 2 Violation 1 Year: N/A
Driver 2 Violation 2 Type: N/A
Driver 1 Violation 2 Year: N/A
Driver 2 Violation 3 Type: N/A
Driver 2 Violation 3 Year: N/A
Driver 3 Name: N/A
Driver 3 Date of Birth: N/A
Driver 3 DUI: N/A
Driver 3 DUI Date: N/A
Driver 3 Education: N/A
Driver 3 Gender: N/A
Driver 3 GPA: N/A
Driver 3 License Number: N/A
Driver 3 License State: N/A
Driver 3 License Status: N/A
Driver 3 Marital Status: N/A
Driver 3 Occupation: N/A
Driver 3 Relation: N/A
Driver 3 SR-22: N/A
Driver 3 Suspension: N/A
Driver 3 Driving School: N/A
Driver 3 Age Got License: N/A
Driver 3 Military: N/A
Driver 3 Student: N/A
Driver 3 Violations: N/A
Driver 3 Violation 1 Type: N/A
Driver 3 Violation 1 Year: N/A
Driver 3 Violation 2 Type: N/A
Driver 3 Violation 2 Year: N/A
Driver 3 Violation 3 Type: N/A
Driver 3 Violation 3 Year: N/A
Vehicle Information
Car 1 Make: Mercedes Benz
Car 1 Model: C250
Car 1 Model Year: 2010
Car 1 Trim: Silver
Car 1 Ownership: Yes
Car 1 Annual Mileage: 12,000
Car 1 Daily Mileage: 50
Car 1 Total Mileage: 10,000
Car 1 Coverage: Full
Car 1 Collision Deductible: $500
Car 1 Comprehensive Deductible: $500
Car 1 Commute Miles: 50
Car 1 Storage: Private
Car 1 Salvaged: No
Car 1 Main Use: Work Commute
Car 1 Primary Driver: John Doe
Car 1 Rental: Yes
Car 1 Towing: Yes
Car 1 Alarm: Yes
Car 1 Anti-Lock Brakes: Yes
Car 1 VIN: WD123456789012345
Car 1 Airbags: Yes
Car 2 Make: Mercedes Benz
Car 2 Model: GLK350
Car 2 Model Year: 2010
Car 2 Trim: Black
Car 2 Ownership: Yes
Car 2 Annual Mileage: 10,000
Car 2 Daily Mileage: 30
Car 2 Total Mileage: 7,000
Car 2 Coverage: Full
Car 2 Collision Deductible: $500
Car 2 Comprehensive Deductible: $500
Car 2 Commute Miles: 30
Car 2 Storage: Private
Car 2 Salvaged: No
Car 2 Main Use: Work Commute
Car 2 Primary Driver: Jane Doe
Car 2 Rental: Yes
Car 2 Towing: Yes
Car 2 Alarm: Yes
Car 2 Anti-Lock Brakes: Yes
Car 2 VIN: WD123456789012346
Car 2 Airbags: Yes
Car 3 Make: N/A
Car 3 Model: N/A
Car 3 Model Year: N/A
Car 3 Trim: N/A
Car 3 Ownership: N/A
Car 3 Annual Mileage: N/A
Car 3 Daily Mileage: N/A
Car 3 Total Mileage: N/A
Car 3 Coverage: N/A
Car 3 Collision Deductible: N/A
Car 3 Comprehensive Deductible: N/A
Car 3 Commute Miles: N/A
Car 3 Storage: N/A
Car 3 Salvaged: N/A
Car 3 Main Use: N/A
Car 3 Primary Driver: N/A
Car 3 Rental: N/A
Car 3 Towing: N/A
Car 3 Alarm: N/A
Car 3 Anti-Lock Brakes: N/A
Car 3 VIN: N/A
Car 3 Airbags: N/A
Claims Information
Claim 1 Type: Property Damage
Claim 1 Date: 1/1/2005
Claim 1 Amount: $30,000
Claim 2 Type: N/A
Claim 2 Date: N/A
Claim 2 Amount: N/A