Page 58 - Evaluation for John Shartle
P. 58

cJYd	RG	?bb	CbJH	EK]UWvwv	xwv	#	xyxz{x|{v	}}~	€vz‚xwv	ƒ„……{v†v‡ˆ	{x‡‰
                                                                   	TUVS[\RR]W^_
        m1n4o9=1q:1r163	t:96:96	<
        p0q	t
      __```	t:96	«
      __```	t:96	©
        [_UHf\Rabg
      __```	t:96	8
        eGaU	[_UHf\Rabg	_	hSM	@UINYJMU	CbJHW	i	??TCj	@UINYJMU	CbJHW	kMGa	lHNRUIeUJbR\YJMUj	[_\UJbR\A]bJHWf\Rabg	_	m1n4o9=1	p0qq:1r163	s620=96o1	t:962
         	

			"#$$()::	<=11ALMNIJK
                                                                   !"#$$"%&'27	89::	;5HIJKSMIJKNWNGH	ZSNIUJMU]bJHW
                                                                   *++,	-!!.123456BBC@	DEF	@GDEF	QJRU	XUYJM]aUINY
       +u~xˆv‰	x‰v	‡‘”xˆv	Ž•	zwˆu €vz‚xwv	xwˆ		–••v‚ˆzyv	”xˆv”v‰zwv	{x‡	ƒˆxwˆ	”xˆv
                                                                                                      n43	mž	s6Ÿ5=r93456
         ’“	‹ŽvOO>— —˜_™š_BOš› —˜_—B_™—Bš —™_—B_™—Bœ
         B
                                                                   /0>?@AO?@APC@	UWR	J	LMU_```Jz‡	!&&-Š	‹ux‡Œv	Ž‚xˆzŽ‡
                                      m523	t5q0:9=
                                                                                                                   p²4::1³0=2<9o4:
        ?	HGHARG JYYG	SWUM	MJRU	kGM	—™_—B_™—Bœ	NW	W\G`Hf	TJRUW	GHbK	J]]bK	kGM	R\U	aGHR\	W\G`H	JHI	JMU	 JWUI	GH	R\U	NHkGMaJRNGH	KGS	UHRUMUIf	¡GSM	JYRSJb	MJRU	`Nbb	 U	IURUMaNHUI	S]GH	JYYU]RJHYUf	  Your zip code in
                                        «qq:ž
        85rq9=1	t:962
        LGM	Jbb	J¢JNbJ bU	]bJHWF	JHW`UMW	RG	VSUWRNGHW	GH	KGSM	UHMGbbaUHR	J]]bNYJRNGH	`Nbb	 U	SWUI	RG	IURUMaNHU	`\NY\	MJRU	J]]bNUW	RG	KGSf	NIU	NH	KGSM	WRJRU_JMUJf	¨9312©924o©161ª32t9=3	«¬1n0o34­:1t9=3	©¬1n0o34­:13	©¯o122°9=±12¥p³<8546
                                                                                                          ®	t9=8
        ?bb	MJRUW	JMU	WS £UYR	RG	Y\JH¤Uf	?HK	MJRU	Y\JH¤U	`Nbb	J]]bK	RG	Jbb	aUa UMW	Gk	R\U	WJaU	YbJWW	NHWSMUI	SHIUM	KGSM	]bJH	`\G	MUW
        ¥0q	35	¦§
                                                                                                   Delaware
                                                                    ·¸¹º»¼½ºRUCbJH	]JKWÁ¹¿¿Á¹¿¿Á
                                                                                        ¹¿¿
                                                                                                  CbJH	]JKWCbJH	]JKWCbJH¹¿¿Á
                                                                               XNWYG¸
                                                                               ¾NR\DHMGbbaUHS»»ÀU¢U I made up this date
                                                                               QRJHIJMI	TJRHR½¼¿¿b	™	TJRU
                                                                               XNWYGS A	AA	AA	A
                                                                                        ¹¿¿
                                                                                  -- it has no effect
                                                                                  on your premiums
                                                                                  unless you've had
                                                                               QRJHIJMI	TJ
                                                                                  Part B for less than
                                                                                  6 months.

       UHU´R	EJ bUfJJM]WS]]bUaUHRJb\UJbR\fYGa_YGHRUHR_IJa_GbU_@UIQS]]XGYW_cUHUkNRWEJ bU_QRJRUCbJHµJMNJRNGHW_cE™P¶BB>¶QEX¶?f]Ikg¸Â¹ÀU¢U
                                                                               XNWYG A	A
       UHU´R	EJ bUfJJM]WS]]bUaUHRJb\UJbR\fYGa_YGHRUHR_IJa_GbU_@UIQS]]XGYW_cUHUkNRWEJ bU_QRJRUCbJHµJMNJRNGHW_cE™œ¶BB>¶QEX¶Lf]Ikg¸¹¹¦¼º¿RUCbJH	]JKWÁ½ÄRUCbJH	]JKWÁ¹¿¿Á
       UHU´R	EJ bUfJJM]WS]]bUaUHRJb\UJbR\fYGa_YGHRUHR_IJa_GbU_@UIQS]]XGYW_cUHUkNRWEJ bU_QRJRUCbJHµJMNJRNGHW_cE™›¶BB>¶QEX¶cf]Ikg¸
                                                                               QRJHIJMI

                                                                                                          ¹¿¿
                                                                                                          CbJH	]JKWÁ	Gk
                                        «qq:ž ¾NR\DHMGbbaUHSÂÅÀU¢U                      ¹¿¿       CbJH	]JKWA	A
                                        «qq:ž ¾NR\DHMGbbaUHRHR¿¼¿¿b	™	TJRU¸¹¦Ã¼	TJRHR»¼ÅÄb	™	TJRU¸¹ºÂ¼½ÄRUCbJH	]JKWÁ¹¿¿Á
                                                                                                          H
                                                                                                          CbJH	IGGRc	UÇYUY\
      __```
                                                                               QRJHIJMI	TJ
                                                                               XNWYGS

       UHU´R	EJ bUfJJM]WS]]bUaUHRJb\UJbR\fYGa_YGHRUHR_IJa_GbU_@UIQS]]XGYW_cUHUkNRWEJ bU_QRJRUCbJHµJMNJRNGHW_cE™>¶BB>¶QEX¶Æf]Ikg¸»»ÀU¢U
                                        «qq:ž ¾NR\DHMGbbaUHRHR¦¼¹Âb	™	TJRU              ¹¿¿       CbJH	]JKWCJMR	cIUISYRN bUf	UW	]JK	CJMRWWJM¤UWf CbJH¹¿¿Á
   53   54   55   56   57   58   59   60   61