Free Answer to Complaint - District Court of California - California

Case 3:07-cv-04723-MHP

Document 28-3

Filed 02/29/2008

Page 1 of 2

Exhibit B

Case 3:07-cv-04723-MHP

Document 28-3

Filed 02/29/2008

Page 2 of 2

SeanK. Keel 1450OakdaleAvenue SanFrancisco,CA 94124 DearMr. Keel: Your applicationhas beenreceived. ftrant you for your participation.Pleasenote that your check for the initial premium was not includedwith your materials. YOUR APPLICATION CANNOT BE PROCESSED UNTIL YOUR PREMIUM CHECK IIAS BEEN RECEMD. Pleaseselecta plan from below: MONTHLY PAYMENT SYSTEM withdrawnfrom your checkingaccounteachmonth. The monthly Your premium can lre automatically premiumis only fi91.47. If you want to utilizethis system,please the following: do authorization in 1) Sign the enclosed whereindicated the "X", andhighlighted yellow. by 2) Write "VOID" authorization. on a check from your checking account and return it with your signed

ROP" for fi97.47. This will pay for the first month after the 3) Write a check payableto "F&G 2fr120 will be drawnfrom your checkingaccount. policy is issued. Futurepayments IIUM MODES OTHER PREW If you prcfcr to be billed directly at your hornc, yOu may pay prcmiums on either a quarterly, selnianllual,or an annual prenlium lnode. The respectivc amounts arei

QuarterlyrS281.58

annual:$552.33 Senli·d

Annual:$1083.00

]20/20 If you choose one ofthcse direct paymentinodcs,pleasc enclose a check made payable to"F&·k e chosen. All future prcllliunl notices will bc sent to ROP"for thc amount representing the inodc you,, your home. TO ASSIST IN ASSURING YOUR PARTICIPAT10N AT THE LOW RATES YOUiVE BEEN QUOTED,AND TO FACILITATE THE PROCESSING OF YOUR POLICY,YOU AZM ENCOURAGED TO RETURN THE A30VE REQUIRMENTSIN E ENCLOSED TU ee to call me ENVELOPE TODAY. As always,if you should need assistance,Plcase tcl fl·E at l·\ ·\·] 800-259-3430 ext.121. Thank you` ·\ Sinccrcly, Patricc Pfitzer Farnily Direct lnsurance Services,Inc.