For Term, Money Back Term, Whole Life, or Mortgage Protection complete the application below. Term Life is the most simple and affordable of all insurance policies. If you die while the policy is in force, typically 10, 20 or 30 years, your beneficiary receives exactly the face amount you've paid for. It's an estate creation for a specified period of time. Note, it takes a few hours to research the insurance companies plans, policies, talk to the underwriters and determine the best policy available to you.

IMPORTANT:  Everyday thousands of people are protecting their families by insuring their current mortgage balances. Complete as much as possible, then call with questions or comments.

Express Insurance Quote
(Texas Only)
(All 50 States and Canada )

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Optional Questions

Your Health:
High Blood Pressure Yes  No
Heart Attach/Stroke Yes  No
Cancer Yes  No
Do you Smoke Yes  No
Sex Male  Female
What is the most important option. Death - Benefit Amount $
Disability - Mortgage Payment $
Terminal Illness
Money Back

List: Medical issues, medications and daily dosage.
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Charles M. Taylor & Assoc. 450 N. Beltway Suite 273, Houston, TX. 77060  PH 832-647-5090 FX 281-445-7257