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AIL
Agent New Business Transmittal Report
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American Income Life
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Insurance CompanySGA NameAO-Altig
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Transmittal Date
2/3/2026StateAZ
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PARTIAL CONVERSION
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EMILY WALESWALESBXQ23
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(Print - Agent's Name)Agent L. Name (5 ltrs)Agent #
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Name of ApplicantModePlanLife AnnualA&H AnnualC. W. A.PolicyTrial = T Control = C
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GABRIEL LUQUE MBDEX$2,824.68$0.00$235.390
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Totals$0.00$2,824.68$0.00$235.39$0.00
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