<?xml version="1.0" encoding="utf-8"?>
<InsuranceRequest xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema">
	<AffiliateInfo>
		<PartnerID>3</PartnerID>
		<Token>G15QncRptYzJftqUauVyodKvsoZWxArrfsgdetg</Token>
		<TrackingCampaign>MyCampaign</TrackingCampaign>
		<LeadSourceID>InHouse</LeadSourceID>
		<LeadIdToken>3DDAB3DF-978B-4E65-D2C6-79A3BC71D155</LeadIdToken>
		<ProductionEnvironment>true</ProductionEnvironment>
	</AffiliateInfo>
	<LeadMetaData>
		<LeadBornOnDateTimeUtc>2016-06-01T01:00:01</LeadBornOnDateTimeUtc>
		<IpAddress>75.27.97.10</IpAddress>
		<UserAgent>Mozilla/5.0 (Windows NT 6.3; WOW64; Trident/7.0; rv:11.0) like Gecko</UserAgent>
		<TcpaCompliant>true</TcpaCompliant>
		<TcpaText>By submitting your quote request, you represent that you are at least 18 and agree to our Privacy Policy and Terms of Use. You also authorize us and/or its marketing partners to contact you for marketing/telemarketing purposes at the number and address provided above, including your wireless number if provided, using live operators, automated telephone dialing systems, pre-recorded messages, text messages and/or emails. You are not required to consent as a condition of purchasing goods or services and may revoke consent at anytime.</TcpaText>
	</LeadMetaData>
	<LeadTypeID>3</LeadTypeID>
	<ZipCode>43215</ZipCode>
	<ContactInfo>
		<FirstName>John</FirstName>
		<LastName>Doe</LastName>
		<Address>123 Main St</Address>
		<ZipCode>43215</ZipCode>
		<City>Columbus</City>
		<County>FRANKLIN</County>
		<State>OH</State>
		<PhoneDay>9122074914</PhoneDay>
		<PhoneEve>9128524606</PhoneEve>
		<PhoneCell>9122074914</PhoneCell>
		<Email>Johndoe@test.com</Email>
	</ContactInfo>
	<RenterInsurance>
		<ApplicantInfo>
			<DOB>1949-11-10</DOB>
			<Credit>Average</Credit>
			<YearsAtCurrentResidence>1</YearsAtCurrentResidence>
			<YearsAtPreviousResidence>1</YearsAtPreviousResidence>
		</ApplicantInfo>
		<Property>
			<PropertyType>Single Family</PropertyType>
			<Garage>Attached - 3 Cars</Garage>
			<HomeSecurity>Home Only</HomeSecurity>
			<YearBuilt>1951</YearBuilt>
			<Stories>1</Stories>
			<Bedrooms>9</Bedrooms>
			<Bathrooms>7</Bathrooms>
			<Fireplace>false</Fireplace>
			<SquareFootage>2796</SquareFootage>
			<PersonalPropertyValue>214564</PersonalPropertyValue>
			<Dog>true</Dog>
			<Basement>true</Basement>
			<PropertyFeatures>
				<Deadbolt_Locks>false</Deadbolt_Locks>
				<Smoke_Alarm>false</Smoke_Alarm>
				<Fire_Extinguisher>false</Fire_Extinguisher>
				<Manned_Fire_Station_Within_5_Miles>false</Manned_Fire_Station_Within_5_Miles>
				<Fire_Hydrant_Within_1000_Feet>false</Fire_Hydrant_Within_1000_Feet>
				<Indoor_Sprinklers>false</Indoor_Sprinklers>
				<Copper_Water_Pipes>false</Copper_Water_Pipes>
				<Brush_Hazard_within_500_feet>false</Brush_Hazard_within_500_feet>
				<Flood_Area>false</Flood_Area>
				<Central_Air_Conditioning>false</Central_Air_Conditioning>
				<Sauna>false</Sauna>
				<Hot_Tub>false</Hot_Tub>
				<Woodburning_Stove>false</Woodburning_Stove>
				<Sump_Pump>false</Sump_Pump>
				<In_Ground_Swimming_Pool>false</In_Ground_Swimming_Pool>
				<Swimming_Pool_Is_Fenced>false</Swimming_Pool_Is_Fenced>
				<Smoker_In_Household>false</Smoker_In_Household>
			</PropertyFeatures>
			<Claims>
				<Claim>
					<Date>2010-06-01</Date>
					<Type>Weather</Type>
					<AmountPaid>751709</AmountPaid>
					<Comment>No Comment</Comment>
				</Claim>
				<Claim>
					<Date>2011-03-01</Date>
					<Type>Vandalism</Type>
					<AmountPaid>9851</AmountPaid>
					<Comment>No Comment</Comment>
				</Claim>
				<Claim>
					<Date>2011-07-01</Date>
					<Type>Vandalism</Type>
					<AmountPaid>709300</AmountPaid>
					<Comment>No Comment</Comment>
				</Claim>
				<Claim>
					<Date>2011-04-01</Date>
					<Type>Water</Type>
					<AmountPaid>689286</AmountPaid>
					<Comment>No Comment</Comment>
				</Claim>
			</Claims>
		</Property>
		<CurrentInsurance>
			<CurrentlyInsured>false</CurrentlyInsured>
		</CurrentInsurance>
		<RequestedCoverage>
			<Liability>100000</Liability>
			<Deductible>100</Deductible>
		</RequestedCoverage>
	</RenterInsurance>
</InsuranceRequest>