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IDSubmitted AtFirst Vehicle MakeZip CodeNumber of VehiclesFirst Vehicle YearFirst Vehicle ModelSecond Vehicle YearSecond Vehicle MakeSecond Vehicle ModelAccident In Last Three YearsInsuredCurrent Insurance ProviderInsuredAccident In Last Three YearsDUI License ActiveAccident In Last Three YearsAccident In Last Three YearsFirst NameLast NamePhone NumberEmailStreet Address
391/18/2026, 4:50:15 AMbmw3009712024X3   yes12allstateyesnonoyesmalemarriedTestTest5556665555test@test.com123 No Street
311/17/2026, 4:42:14 AMford1234212024Edge   yes12geicoyesnonoyesmalemarriedKrishnaTripathi78745755555keu@uiew.com1 Trust St

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