LIFE*SAVINGS Insurance 517 Chestnut Street, PO Box 24 Bellevue, ID 83313 Phone: 208-788-0148 Email: email@example.com
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and premiums are
Dale K. Ewersen, agent, is licensed to sell life insurance in ID, MT, UT, and WY. Dale K. Ewersen, Agent state of domicile and principal place of business ID 01-040(2-16-01)