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Get Estates & Trusts Supplement - M. Burr Keim Agency

Ou" and "your" mean the entity or individual applying for this insurance. APPLICANT INFORMATION 1. New Business Current Travelers policy number 2. Your Full legal name GENERAL INFORMATION 3. Please complete the following chart based upon the five largest Estates or Trusts for which you provided legal services in the past five years: Name of Estate or Trust Date Established Attorney Descri.

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