Agent Info:

    Name:      

    Agency:     

    Address:    

    City:               State:      Zip:      

    Phone #:         Fax #:

    E-mail address: 

General Information:

    Clients Name:     DOB:  

    Sex:   Male Female      Issue state:      Smoker:   Yes No

    Annuity Amount:      Qualified Money:   Yes No

    Period Certain:  5 10 15 20 Lifetime Other   Other:  

    Survivorship:   Single Joint

    If Joint Second Persons Name:  

    Second Persons Sex:   Male Female    Is the Second Person a Smoker:   Yes No

    Comments:  

Not so fast, say the term lifers. The only reason to have fast life insurance is to replace the lost income of a family member who dies, and then only when the spouse or family is dependent on that income. If you are single with no dependents and no debts fast life insurance . If you are married and your spouse works, you probably do not need fast life insurance, either, assuming your spouse makes enough to support himself or herself.