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NEW JERSEY LIFE INSURANCE QUOTE REQUEST
Janson and Heitmann Insurance Services
Listed Below is a Simple "Needs" Reference Sheet. - COPY and PRINT for your own use.
| You | Your Spouse | |
| Final Expenses: Cash needed for burial costs, short term debt, probate fees, estate taxes etc. | __________ | __________ |
| Amount needed to pay off mortgage or continue rent payments | __________ | __________ |
| Emergency Fund: Amount needed to assure(__) months of income for an emergency or income for (__) months. | __________ | __________ |
| Funds needed to replace income lost from death of spouse | __________ | __________ |
| College Fund: Amount needed to assure children will be able to attend college | __________ | __________ |
| Total | $__________ | |
| Subtract Current Investments and Savings: | $__________ |
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