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Auto Quote Form

For Internal Use Only

* Required fields

To provide you with an insurance quote, we may pull consumer reports including but not limited to the Motor Vehicle Report (MVR), Credit Based Insurance Score (CBIS) and the Comprehensive Loss Underwriting Exchange  (CLUE) reports.

You will be provided the Notice of Information Practices and statement of use of CLUE along with your quote.

GPA documentation will be required for a final quote.

Auto insurance policies issued by a financial company to be assigned. This is not a statement of contract. For a complete description of all coverages, options, exclusions, and limitations, please refer to the policy. Rates may vary by state. Please note that the information requested above is general, and there may be other factors that will affect the amount of the quote.

Real Estate Provider #515.000066/Fahim Muhammad Instructor #512.003026/Fahim Muhammad Managing Broker #471.020985    Freedom Financial Institute, IDOI Provider #500026517/NMLS Provider #1405073/Fahim Muhammad NMLS #1851084    All loans originated through Mortgage Loan Direct, NMLS #1192858    15255 South 94th Avenue, Suite 500 Orland Park, IL 60462. Freedom Apex Enterprise & Financial Services Mailing Address: 837 East 162nd Street, Suite 7-8 South Holland, IL 60473 708-704-7309/708-566-1222, 844-49-FREEDOM  

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