Policy Sellers
Policy Qualification Questionnaire

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Self-qualification form

Several different factors influence your qualification level for a Life Settlement. Please take a moment to answer the following six questions. The outcome will give you an idea of how likely you would be to qualify for a life settlement.

1. What is your age?

2. Your gender?

3. What is your current state of health?

4. Which policy type do you hold?

5. Is there a loan on the policy?

6. What is your current premium as a percentage of the death benefit?

Results

Your responses: