www.insuremn.com

   Home Location News Links

Michael W. Smith Agency

Revised:

May 06, 2015

Life Insurance

 763-535-7293

 

 

Main Menu

 

Quotes
Brochures
Applications / Forms
Contact Us

 

Quote Form PagesAuto / Car
Church / Synagogue
Commercial
Contractor
Critical Illness
Dental Insurance
Disability Income
Employee Benefits
Global Travel Health
Homeowners
Health / Medical
Jet Ski / PWC
Life Insurance
Long-Term Care
Motorcycle
Motor Home
Snowmobile
Watercraft / Boat

 

Information

 

Please tell me about any health, weight or other problems.

 

Why do you need life insurance? Most people die with some financial obligations, such as the ongoing income needs of their family, mortgage payments, or funding future college expenses. While there are other financial tools, life insurance is the only instrument that can provide instant cash at death.

Life insurance takes a relatively small amount of your money and creates capital that will be available at the exact instant that it is needed and in the exact amount desired.

How much life insurance do you need? Many financial planners suggest amounts ranging from 10 to 20 times your gross annual income. But the right amount is really based on your individual needs. You have the right amount of insurance if after being honest about obligations to your family and others, that you will be able to sleep comfortably tonight.

horizontal rule

Life Insurance Quote Request Form

This is a request for a Minnesota Life insurance quote, not a policy application. Submitting this form does not obligate you to purchase any life insurance products. Please complete this form as accurately as possible. Life insurance rates are subject to change.

Name
Street
City, State ZIP   
E-mail
Phone
Fax:
Send information by:

 

Birthdate Sex Tobacco Use
Height Weight

 

Do you have health problems? Describe any health problems
Yes No

 

Amount of Insurance Plan of Insurance
$

 

Additional Comments

 

horizontal rule

Number of hits since August 15, 1998

 

 

Back Home Up Next

Copyright © 2001, 2002, 2003, 2004, 2005, 2006, 2007, 2008, 2009 Michael W. Smith Agency