ArkLaTex.biz | Ted A. Souter: Long-Term Care Specialist

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Personal Information Section*
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Long Term Care Insurance Section
1. Are you looking for Long Term Care Insurance Information or help with Aid or Standby Assistance? Please explain in box below:
2. Do you or your spouse currently own a Long-term Care Insurance Policy, if so with which company, and when did you purchase it?
Yourself: Yes No Company	Your Spouse: Yes No Company
3. Have you or your spouse served in the Military? If so, please note military branch and dates that were served, along with any additional comments:
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