DISCLOSURE "In connection with this application for insurance, some carriers may review your credit report, or obtain or use a credit based insurance score based on the information contained in that report. We may use a third party in connection with development of your insurance score."

CHECK THIS BOX FOR QUOTE RELEASE - This information has been reviewed with the customer and agreed upon. We value your privacy and will release NO personal information you give us to ANY other party, at any time, and make every effort to keep your information confidential.