Questions?

If you have questions about the integration please contact us at engineering@hometownquotes.com

Ping/Post Integration Documentation

The QuoteEngine Ping/Post system is a real-time marketplace where you will be able to send lead information, get price quotes, and then sell us leads. The system is currently set up to buy Auto, Home, Life, Health and Renter Insurance leads. This documentation lays out how these transactions take place along with instructions on how to integrate with our API.

How it Works

In a ping/post system the goal is to query us (ping) to find out our interest level in a specific lead. In the ping you generate the XML and send us all of the information about the lead except for the contact information. This allows our system to respond with a price we are willing to pay for that lead. If we are interested we will respond with a Result of "OK" and a "Payout", which is the amount we will pay for it. If you accept our price you can then Post the entire lead data (including contact information) along with the LeadID from our Ping response. We will then respond to confirm this transaction. To send pings and posts our way, you'll need to a post request with the following arguments either encoded in "application/x-www-form-urlencoded" format or as properly-escaped query string parameters.

Ping:

Test URL: http://sandbox.quoteengine.com/lead/ping
Prod URL: https://quoteengine.com/lead/ping

Parameters:

aid: required - your affiliate id
src: required - lead source
sub: optional - lead sub-source
accountid: required - your account id
xml: required - lead information as xml

Post:

Test URL: http://sandbox.quoteengine.com/lead/post
Prod URL: https://quoteengine.com/lead/post

Parameters:

id: required - lead ID provided in our Ping response
aid: required - your affiliate id
src: required - lead source
sub: optional - lead sub-source
accountid: required - your account id
xml: required - lead information as xml

Download the latest XSD version

Ping/Post XSD

The lead XML that is sent into the system must validate against the XSD or it will not process. An XSD is a document which defines the structure (schema) of an XML document. The XSD has rules about how the XML is laid out, what elements exist, and how the fields are filled out. To test your generated XML you can use this XSD validator.

LeadId/Trusted Form Token

Additional fields are required when sending us leads to let us know how the consent was obtained. These fields come right after the Jornaya LeadId and TrustedForm Token fields in the XML. Which looks like:

	<ContactInfo>
		<ZipCode>64836</ZipCode>
		<City>Carthage</City>
		<State>MO</State>
	</ContactInfo>
	<LeadId>A66AE4A1-CE32-6E94-31F1-XXXXXXXXXXXX</LeadId>
	<TrustedFormToken>55c8e255g56XXXXXXXXXX</TrustedFormToken>
	<TrustedFormPingUrl>https://ping.trustedform.com/XXXXXXXXXXXXXXXXXXXXXX</TrustedFormPingUrl>
	<Tcpa2025>1</Tcpa2025>
	<Tcpa2025Type>checkboxu</Tcpa2025Type>
	<Tcpa2025Exclusive>1</Tcpa2025Exclusive>
	<OriginationUrl>https://myform.com/auto</OriginationUrl>

Sample XML

Auto Ping:

<?xmlversion="1.0" encoding="UTF-8"?>
<InsuranceRequest xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:noNamespaceSchemaLocation="InsuranceRequest.xsd">
    <TCPAInfo>
        <ConsumerIPAddress>195.201.0.78</ConsumerIPAddress>
        <LeadBornOnDateTimeUTC>2001-12-31T12:00:00-06:00</LeadBornOnDateTimeUTC>
        <UserAgent>UserAgent</UserAgent>
        <TCPAOptIn>true</TCPAOptIn>
        <TCPAText>This is TCPA text</TCPAText>
    </TCPAInfo>
    <ContactInfo>
        <ZipCode>30044</ZipCode>
        <City>Lawrenceville</City>
        <State>GA</State>
    </ContactInfo>
    <Tcpa2025>1</Tcpa2025>
    <Tcpa2025Type>checkboxu</Tcpa2025Type>
    <Tcpa2025Exclusive>1</Tcpa2025Exclusive>
    <OriginationUrl>https://myform.com/quoteform</OriginationUrl>
    <AutoInsurance>
        <ResidenceStatus MonthsAt="3" YearsAt="4">Own</ResidenceStatus>
        <Vehicles>
            <Vehicle Ownership="true" VehicleID="0">
                <VIN>3FAHP011*9*******</VIN>
                <VehUse AnnualMiles="5000" DailyCommuteMiles="5" WeeklyCommuteDays="0">Pleasure</VehUse>
                <ComphrensiveDeductible>100</ComphrensiveDeductible>
                <CollisionDeductible>100</CollisionDeductible>
                <GarageType>Locked</GarageType>
            </Vehicle>
            <Vehicle Ownership="true" VehicleID="1">
                <VehicleData>
                    <VehYear>1986</VehYear>
                    <VehMake>FORD</VehMake>
                    <VehModel>RANGER</VehModel>
                </VehicleData>
                <VehUse AnnualMiles="12500" DailyCommuteMiles="20" WeeklyCommuteDays="3">CommuteWork</VehUse>
                <ComphrensiveDeductible>500</ComphrensiveDeductible>
                <CollisionDeductible>500</CollisionDeductible>
                <GarageType>Carport</GarageType>
            </Vehicle>
        </Vehicles>
        <Drivers>
            <Driver DriverID="1">
                <PersonalInfo Gender="Male" MaritalStatus="Single" PersonID="1" RelationshipToApplicant="Self">
                    <FirstName>Markusizez</FirstName>
                    <LastName>Aurusizez</LastName>
                    <BirthDate>1991-01-01</BirthDate>
                    <Occupation>Legal</Occupation>
                    <IsMilitary>false</IsMilitary>
                    <Education GoodStudentDiscount="true">Bachelors Degree</Education>
                    <CreditRating>Excellent</CreditRating>
                </PersonalInfo>
                <PrimaryVehicle>0</PrimaryVehicle>
                <DriversLicense LicenseEverSuspendedRevoked="true">
                    <State>CO</State>
                    <Number>Number</Number>
                    <LicensedAge>16</LicensedAge>
                </DriversLicense>
                <DrivingRecord DriverTraining="true" SR22Required="true">
                    <DUIs/>
                    <Accidents/>
                    <Tickets/>
                    <Claims/>
                </DrivingRecord>
            </Driver>
        </Drivers>
        <CurrentInsurance>
            <CurrentlyInsured>true</CurrentlyInsured>
            <CurrentPolicy>
                <CarrierID>10</CarrierID>
                <Carrier>other</Carrier>
                <Expiration>2001-01-01</Expiration>
                <InsuredSince>2001-01-01</InsuredSince>
                <PremiumAmount>0</PremiumAmount>
            </CurrentPolicy>
            <LapsedPolicy>true</LapsedPolicy>
        </CurrentInsurance>
        <RequestedCoverage>Standard Protection</RequestedCoverage>
    </AutoInsurance>
</InsuranceRequest>

<?xml version="1.0" encoding="UTF-8"?>
<InsuranceRequest xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:noNamespaceSchemaLocation="InsuranceRequest.xsd">
	<TCPAInfo>
	    <ConsumerIPAddress>195.201.0.78</ConsumerIPAddress>
	    <LeadBornOnDateTimeUTC>2001-12-31T12:00:00-06:00</LeadBornOnDateTimeUTC>
	    <UserAgent>UserAgent</UserAgent>
	    <TCPAOptIn>true</TCPAOptIn>
	</TCPAInfo>
    <ContactInfo>
        <ZipCode>64836</ZipCode>
        <City>Carthage</City>
        <State>MO</State>
	</ContactInfo>
    <Tcpa2025>1</Tcpa2025>
	<Tcpa2025Type>checkboxu</Tcpa2025Type>
	<Tcpa2025Exclusive>1</Tcpa2025Exclusive>
    <OriginationUrl>https://myform.com/auto</OriginationUrl>
	<LeadId>A66AE4A1-CE32-6E94-31F1-9BF5D0B86B4E</LeadId>
    <AutoInsurance>
        <ResidenceStatus YearsAt="2" MonthsAt="0">Rent</ResidenceStatus>
        <Vehicles>
            <Vehicle VehicleID="1" Ownership="true">
                <VIN>1GNCS18W0X0000000</VIN>
                <VehUse AnnualMiles="5000" WeeklyCommuteDays="0" DailyCommuteMiles="1">Pleasure</VehUse>
                <ComphrensiveDeductible>500</ComphrensiveDeductible>
                <CollisionDeductible>500</CollisionDeductible>
                <GarageType>No Cover</GarageType>
            </Vehicle>
            <Vehicle VehicleID="2" Ownership="true">
                <VIN>1B3HD46F0T0000000</VIN>
                <VehUse AnnualMiles="5000" WeeklyCommuteDays="0" DailyCommuteMiles="1">Pleasure</VehUse>
                <ComphrensiveDeductible>500</ComphrensiveDeductible>
                <CollisionDeductible>500</CollisionDeductible>
                <GarageType>No Cover</GarageType>
            </Vehicle>
        </Vehicles>
        <Drivers>
            <Driver DriverID="0">
                <PersonalInfo Gender="Female" MaritalStatus="Single" PersonID="0" RelationshipToApplicant="Self">
                    <FirstName>FirstName</FirstName>
                    <LastName>LastName</LastName>
                    <BirthDate>1978-01-15</BirthDate>
                    <Occupation>Disabled</Occupation>
                    <IsMilitary>false</IsMilitary>
                    <Education GoodStudentDiscount="false">HighSchool Diploma</Education>
                    <CreditRating>Excellent</CreditRating>
                </PersonalInfo>
                <PrimaryVehicle>0</PrimaryVehicle>
                <DriversLicense LicenseEverSuspendedRevoked="false">
                    <State>MO</State>
                    <LicensedAge>17</LicensedAge>
                </DriversLicense>
                <DrivingRecord SR22Required="false" DriverTraining="true">
                    <DUIs>
                    </DUIs>
                    <Accidents>
                    </Accidents>
                    <Tickets>
                        <Ticket Year="2012" Month="12">
                            <Description>Speeding Violation</Description>
                        </Ticket>
                    </Tickets>
                    <Claims>
                    </Claims>
                </DrivingRecord>
            </Driver>
            <Driver DriverID="1">
                <PersonalInfo Gender="Male" MaritalStatus="Single" PersonID="1" RelationshipToApplicant="Other">
                    <FirstName>FirstName</FirstName>
                    <LastName>LastName</LastName>
                    <BirthDate>1978-01-15</BirthDate>
                    <Occupation>Disabled</Occupation>
                    <IsMilitary>false</IsMilitary>
                    <Education GoodStudentDiscount="false">HighSchool Diploma</Education>
                    <CreditRating>Excellent</CreditRating>
                </PersonalInfo>
                <PrimaryVehicle>1</PrimaryVehicle>
                <DriversLicense LicenseEverSuspendedRevoked="false">
                    <State>MO</State>
                    <LicensedAge>19</LicensedAge>
                </DriversLicense>
                <DrivingRecord SR22Required="false" DriverTraining="true">
                    <DUIs>
                    </DUIs>
                    <Accidents>
                    </Accidents>
                    <Tickets>
                    </Tickets>
                    <Claims>
                    </Claims>
                </DrivingRecord>
            </Driver>
        </Drivers>
        <CurrentInsurance>
            <CurrentlyInsured>true</CurrentlyInsured>
            <CurrentPolicy>
                <CarrierID>347</CarrierID>
                <Carrier>State Farm</Carrier>
                <Expiration>2013-10-20</Expiration>
                <InsuredSince>2013-01-23</InsuredSince>
            </CurrentPolicy>
        </CurrentInsurance>
        <RequestedCoverage>Standard Protection</RequestedCoverage>
    </AutoInsurance>
</InsuranceRequest>

Auto Post:

<?xmlversion="1.0"encoding="UTF-8"?>
<InsuranceRequest xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:noNamespaceSchemaLocation="InsuranceRequest.xsd">
    <TCPAInfo>
        <ConsumerIPAddress>195.201.0.78</ConsumerIPAddress>
        <LeadBornOnDateTimeUTC>2001-12-31T12:00:00-06:00</LeadBornOnDateTimeUTC>
        <UserAgent>UserAgent</UserAgent>
        <TCPAOptIn>true</TCPAOptIn>
        <TCPAText>This is TCPA text</TCPAText>
    </TCPAInfo>
    <ContactInfo>
        <FirstName>Markusizez</FirstName>
        <LastName>Aurusizez</LastName>
        <Address>1234 The Senate</Address>
        <ZipCode>30044</ZipCode>
        <City>Lawrenceville</City>
        <State>GA</State>
        <PhoneDay>7065412237</PhoneDay>
        <Email>markusiaurusizez@mail12312.net</Email>
    </ContactInfo>
    <Tcpa2025>1</Tcpa2025>
    <Tcpa2025Type>checkboxu</Tcpa2025Type>
    <Tcpa2025Exclusive>1</Tcpa2025Exclusive>
    <OriginationUrl>https://myform.com/quoteform</OriginationUrl>
    <AutoInsurance>
        <ResidenceStatus MonthsAt="3" YearsAt="4">Own</ResidenceStatus>
        <Vehicles>
            <Vehicle Ownership="true" VehicleID="0">
                <VIN>3FAHP011*9*******</VIN>
                <VehUse AnnualMiles="5000" DailyCommuteMiles="5" WeeklyCommuteDays="0">Pleasure</VehUse>
                <ComphrensiveDeductible>100</ComphrensiveDeductible>
                <CollisionDeductible>100</CollisionDeductible>
                <GarageType>Locked</GarageType>
            </Vehicle>
            <Vehicle Ownership="true" VehicleID="1">
                <VehicleData>
                    <VehYear>1986</VehYear>
                    <VehMake>FORD</VehMake>
                    <VehModel>RANGER</VehModel>
                </VehicleData>
                <VehUse AnnualMiles="12500" DailyCommuteMiles="20" WeeklyCommuteDays="3">CommuteWork</VehUse>
                <ComphrensiveDeductible>500</ComphrensiveDeductible>
                <CollisionDeductible>500</CollisionDeductible>
                <GarageType>Carport</GarageType>
            </Vehicle>
        </Vehicles>
        <Drivers>
            <Driver DriverID="1">
                <PersonalInfo Gender="Male" MaritalStatus="Single" PersonID="1" RelationshipToApplicant="Self">
                    <FirstName>Markusizez</FirstName>
                    <LastName>Aurusizez</LastName>
                    <BirthDate>1991-01-01</BirthDate>
                    <Occupation>Legal</Occupation>
                    <IsMilitary>false</IsMilitary>
                    <Education GoodStudentDiscount="true">Bachelors Degree</Education>
                    <CreditRating>Excellent</CreditRating>
                </PersonalInfo>
                <PrimaryVehicle>0</PrimaryVehicle>
                <DriversLicense LicenseEverSuspendedRevoked="true">
                    <State>CO</State>
                    <Number>Number</Number>
                    <LicensedAge>16</LicensedAge>
                </DriversLicense>
                <DrivingRecord DriverTraining="true" SR22Required="true">
                    <DUIs/>
                    <Accidents/>
                    <Tickets/>
                    <Claims/>
                </DrivingRecord>
            </Driver>
        </Drivers>
        <CurrentInsurance>
            <CurrentlyInsured>true</CurrentlyInsured>
            <CurrentPolicy>
                <CarrierID>10</CarrierID>
                <Carrier>other</Carrier>
                <Expiration>2001-01-01</Expiration>
                <InsuredSince>2001-01-01</InsuredSince>
                <PremiumAmount>0</PremiumAmount>
            </CurrentPolicy>
            <LapsedPolicy>true</LapsedPolicy>
        </CurrentInsurance>
        <RequestedCoverage>Standard Protection</RequestedCoverage>
    </AutoInsurance>
</InsuranceRequest>

<?xml version="1.0" encoding="UTF-8"?>
			
<InsuranceRequest xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:noNamespaceSchemaLocation="InsuranceRequest.xsd">
	<TCPAInfo>
	    <ConsumerIPAddress>195.201.0.78</ConsumerIPAddress>
	    <LeadBornOnDateTimeUTC>2001-12-31T12:00:00-06:00</LeadBornOnDateTimeUTC>
	    <UserAgent>UserAgent</UserAgent>
	    <TCPAOptIn>true</TCPAOptIn>
	</TCPAInfo>
	<ContactInfo>
		<FirstName>Markusizez</FirstName>
		<LastName>Aurusizez</LastName>
		<Address>1234 The Senate</Address>
		<ZipCode>30044</ZipCode>
		<City>Lawrenceville</City>
		<State>GA</State>
		<PhoneDay>7065412237</PhoneDay>
		<Email>markusiaurusizez@mail12312.net</Email>
	</ContactInfo>
	<Tcpa2025>1</Tcpa2025>
	<Tcpa2025Type>checkboxu</Tcpa2025Type>
	<Tcpa2025Exclusive>1</Tcpa2025Exclusive>
    <OriginationUrl>https://myform.com/auto</OriginationUrl>
	<AutoInsurance>
		<ResidenceStatus MonthsAt="3" YearsAt="4">Own</ResidenceStatus>
		<Vehicles>
			<Vehicle Ownership="true" VehicleID="0">
				<VIN>3FAHP011*9*******</VIN>
				<VehUse AnnualMiles="5000" DailyCommuteMiles="5" WeeklyCommuteDays="0">Pleasure</VehUse>
				<ComphrensiveDeductible>100</ComphrensiveDeductible>
				<CollisionDeductible>100</CollisionDeductible>
				<GarageType>Locked</GarageType>
			</Vehicle>
		</Vehicles>
		<Drivers>
			<Driver DriverID="1">
				<PersonalInfo Gender="Male" MaritalStatus="Single" PersonID="1" RelationshipToApplicant="Self">
					<FirstName>Markusizez</FirstName>
					<LastName>Aurusizez</LastName>
					<BirthDate>1991-01-01</BirthDate>
					<Occupation>Legal</Occupation>
					<IsMilitary>false</IsMilitary>
					<Education GoodStudentDiscount="true">Bachelors Degree</Education>
					<CreditRating>Excellent</CreditRating>
				</PersonalInfo>
				<PrimaryVehicle>0</PrimaryVehicle>
				<DriversLicense LicenseEverSuspendedRevoked="true">
					<State>CO</State>
					<Number>Number</Number>
					<LicensedAge>16</LicensedAge>
				</DriversLicense>
				<DrivingRecord DriverTraining="true" SR22Required="true">
					<DUIs/>
					<Accidents/>
					<Tickets/>
					<Claims/>
				</DrivingRecord>
			</Driver>
		</Drivers>
		<CurrentInsurance>
			<CurrentlyInsured>true</CurrentlyInsured>
			<CurrentPolicy>
				<CarrierID>10</CarrierID>
				<Carrier>other</Carrier>
				<Expiration>2001-01-01</Expiration>
				<InsuredSince>2001-01-01</InsuredSince>
				<PremiumAmount>0</PremiumAmount>
			</CurrentPolicy>
			<LapsedPolicy>true</LapsedPolicy>
		</CurrentInsurance>
		<RequestedCoverage>Standard Protection</RequestedCoverage>
	</AutoInsurance>
</InsuranceRequest>

Home Ping:

<?xmlversion="1.0"?>
<InsuranceRequest>
    <TCPAInfo>
        <ConsumerIPAddress>195.201.0.78</ConsumerIPAddress>
        <LeadBornOnDateTimeUTC>2001-12-31T12:00:00-06:00</LeadBornOnDateTimeUTC>
        <UserAgent>UserAgent</UserAgent>
        <TCPAOptIn>true</TCPAOptIn>
        <TCPAText>This is TCPA Text</TCPAText>
    </TCPAInfo>
    <ContactInfo>
        <ZipCode>04106</ZipCode>
        <City>South Portland</City>
        <State>ME</State>
    </ContactInfo>
    <Tcpa2025>1</Tcpa2025>
    <Tcpa2025Type>checkboxu</Tcpa2025Type>
    <Tcpa2025Exclusive>1</Tcpa2025Exclusive>
    <OriginationUrl>https://myform.com/quoteform</OriginationUrl>
    <HomeInsurance>
        <ApplicantInfo>
            <DOB>1952-11-12</DOB>
            <IsMilitary>false</IsMilitary>
            <Credit>Poor</Credit>
            <YearsAtCurrentResidence>2</YearsAtCurrentResidence>
            <YearsAtPreviousResidence>0</YearsAtPreviousResidence>
        </ApplicantInfo>
        <Properties>
            <Property>
                <PropertyType>Single Family</PropertyType>
                <Occupancy>Primary Residence</Occupancy>
                <Garage>No Garage</Garage>
                <Foundation>Other</Foundation>
                <HomeSecurity>No Alarm</HomeSecurity>
                <YearBuilt>1950</YearBuilt>
                <Stories>2</Stories>
                <Bedrooms>2</Bedrooms>
                <Bathrooms>1</Bathrooms>
                <Fireplace>true</Fireplace>
                <SquareFootage>1000</SquareFootage>
                <DwellingValue>50000</DwellingValue>
                <NewlyPurchased>true</NewlyPurchased>
                <ConstractionClass>Standard</ConstractionClass>
                <ConstructionType>Wood Frame</ConstructionType>
                <RoofType>Composition Shingle</RoofType>
                <PanelType>Unknown</PanelType>
                <ProximityWater>Not Applicable</ProximityWater>
                <Dog>true</Dog>
                <DogType>None</DogType>
                <ExteriorWalls>Mostly Wood Frame</ExteriorWalls>
                <HeatingType>Gas Forced Air</HeatingType>
                <WiringType>Unknown</WiringType>
                <PropertyFeatures>
                    <Deadbolt_Locks>true</Deadbolt_Locks>
                    <Smoke_Alarm>true</Smoke_Alarm>
                    <Fire_Extinguisher>true</Fire_Extinguisher>
                    <Manned_Fire_Station_Within_5_Miles>true</Manned_Fire_Station_Within_5_Miles>
                    <Fire_Hydrant_Within_1000_Feet>true</Fire_Hydrant_Within_1000_Feet>
                    <Indoor_Sprinklers>false</Indoor_Sprinklers>
                    <Copper_Water_Pipes>false</Copper_Water_Pipes>
                    <Brush_Hazard_within_500_feet>false</Brush_Hazard_within_500_feet>
                    <Flood_Area>false</Flood_Area>
                    <Central_Air_Conditioning>true</Central_Air_Conditioning>
                    <Sauna>true</Sauna>
                    <Hot_Tub>true</Hot_Tub>
                    <Woodburning_Stove>true</Woodburning_Stove>
                    <Sump_Pump>true</Sump_Pump>
                    <In_Ground_Swimming_Pool>true</In_Ground_Swimming_Pool>
                    <Swimming_Pool_Is_Fenced>true</Swimming_Pool_Is_Fenced>
                    <Smoker_In_Household>false</Smoker_In_Household>
                </PropertyFeatures>
                <Claims/>
            </Property>
        </Properties>
        <CurrentInsurance>
            <CurrentlyInsured>false</CurrentlyInsured>
        </CurrentInsurance>
        <RequestedCoverage>
            <CoverageType>Full Package</CoverageType>
            <Liability>100000</Liability>
            <Deductible>500</Deductible>
        </RequestedCoverage>
    </HomeInsurance>
</InsuranceRequest>

<?xml version="1.0"?>

    <InsuranceRequest>
    	<TCPAInfo>
	    	<ConsumerIPAddress>195.201.0.78</ConsumerIPAddress>
	    	<LeadBornOnDateTimeUTC>2001-12-31T12:00:00-06:00</LeadBornOnDateTimeUTC>
	    	<UserAgent>UserAgent</UserAgent>
	    	<TCPAOptIn>true</TCPAOptIn>
		</TCPAInfo>
          <ContactInfo>
                <ZipCode>04106</ZipCode>
                <City>South Portland</City>
                <State>ME</State>
          </ContactInfo>
		  <Tcpa2025>1</Tcpa2025>
		  <Tcpa2025Type>checkboxu</Tcpa2025Type>
		  <Tcpa2025Exclusive>1</Tcpa2025Exclusive>
		  <OriginationUrl>https://myform.com/auto</OriginationUrl>
          <HomeInsurance>
                <ApplicantInfo>
                      <DOB>1952-11-12</DOB>
                      <IsMilitary>false</IsMilitary>
                      <Credit>Poor</Credit>
                      <YearsAtCurrentResidence>2</YearsAtCurrentResidence>
                      <YearsAtPreviousResidence>0</YearsAtPreviousResidence>
                </ApplicantInfo>
                <Properties>
                      <Property>
                            <PropertyType>Single Family</PropertyType>
                            <Occupancy>Primary Residence</Occupancy>
                            <Garage>No Garage</Garage>
                            <Foundation>Other</Foundation>
                            <HomeSecurity>No Alarm</HomeSecurity>
                            <YearBuilt>1950</YearBuilt>
                            <Stories>2</Stories>
                            <Bedrooms>2</Bedrooms>
                            <Bathrooms>1</Bathrooms>
                            <Fireplace>true</Fireplace>
                            <SquareFootage>1000</SquareFootage>
                            <DwellingValue>50000</DwellingValue>
                            <NewlyPurchased>true</NewlyPurchased>
                            <ConstractionClass>Standard</ConstractionClass>
                            <ConstructionType>Wood Frame</ConstructionType>
                            <RoofType>Composition Shingle</RoofType>
                            <PanelType>Unknown</PanelType>
                            <ProximityWater>Not Applicable</ProximityWater>
                            <Dog>true</Dog>
                            <DogType>None</DogType>
                            <ExteriorWalls>Mostly Wood Frame</ExteriorWalls>
                            <HeatingType>Gas Forced Air</HeatingType>
                            <WiringType>Unknown</WiringType>
                            <PropertyFeatures>
                                  <Deadbolt_Locks>true</Deadbolt_Locks>
                                  <Smoke_Alarm>true</Smoke_Alarm>
                                  <Fire_Extinguisher>true</Fire_Extinguisher>
                                  <Manned_Fire_Station_Within_5_Miles>true</Manned_Fire_Station_Within_5_Miles>
                                  <Fire_Hydrant_Within_1000_Feet>true</Fire_Hydrant_Within_1000_Feet>
                                  <Indoor_Sprinklers>false</Indoor_Sprinklers>
                                  <Copper_Water_Pipes>false</Copper_Water_Pipes>
                                  <Brush_Hazard_within_500_feet>false</Brush_Hazard_within_500_feet>
                                  <Flood_Area>false</Flood_Area>
                                  <Central_Air_Conditioning>true</Central_Air_Conditioning>
                                  <Sauna>true</Sauna>
                                  <Hot_Tub>true</Hot_Tub>
                                  <Woodburning_Stove>true</Woodburning_Stove>
                                  <Sump_Pump>true</Sump_Pump>
                                  <In_Ground_Swimming_Pool>true</In_Ground_Swimming_Pool>
                                  <Swimming_Pool_Is_Fenced>true</Swimming_Pool_Is_Fenced>
                                  <Smoker_In_Household>false</Smoker_In_Household>
                            </PropertyFeatures>
                            <Claims/>
                      </Property>
                </Properties>
                <CurrentInsurance>
                      <CurrentlyInsured>false</CurrentlyInsured>
                </CurrentInsurance>
                <RequestedCoverage>
                      <CoverageType>Full Package</CoverageType>
                      <Liability>100000</Liability>
                      <Deductible>500</Deductible>
                </RequestedCoverage>
          </HomeInsurance>
    </InsuranceRequest>

Home Post:

<?xmlversion="1.0" encoding="UTF-8"?>
<InsuranceRequest xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:noNamespaceSchemaLocation="InsuranceRequest.xsd">
    <TCPAInfo>
        <ConsumerIPAddress>195.201.0.78</ConsumerIPAddress>
        <LeadBornOnDateTimeUTC>2001-12-31T12:00:00-06:00</LeadBornOnDateTimeUTC>
        <UserAgent>UserAgent</UserAgent>
        <TCPAOptIn>true</TCPAOptIn>
        <TCPAText>This is TCPA Text</TCPAText>
        </TCPAInfo>
    <ContactInfo>
        <FirstName>FirstName</FirstName>
        <LastName>LastName</LastName>
        <Address>123 Address</Address>
        <ZipCode>80124</ZipCode>
        <City>City</City>
        <County>County</County>
        <State>CO</State>
        <PhoneDay>1231231234</PhoneDay>
        <Email>user@host.com</Email>
    </ContactInfo>
    <Tcpa2025>1</Tcpa2025>
    <Tcpa2025Type>checkboxu</Tcpa2025Type>
    <Tcpa2025Exclusive>1</Tcpa2025Exclusive>
    <OriginationUrl>https://myform.com/quoteform</OriginationUrl>
    <HomeInsurance>
        <ApplicantInfo>
            <DOB>2001-01-01</DOB>
            <IsMilitary>false</IsMilitary>
            <Credit>Poor</Credit>
            <YearsAtCurrentResidence>0</YearsAtCurrentResidence>
            <YearsAtPreviousResidence>0</YearsAtPreviousResidence>
        </ApplicantInfo>
        <Properties>
            <Property>
                <PropertyType>Single Family</PropertyType>
                <Occupancy>Primary Residence</Occupancy>
                <Garage>No Garage</Garage>
                <Foundation>Basement</Foundation>
                <HomeSecurity>No Alarm</HomeSecurity>
                <YearBuilt>1991</YearBuilt>
                <YearUpgraded>1999</YearUpgraded>
                <Stories>1</Stories>
                <Bedrooms>3</Bedrooms>
                <Bathrooms>2</Bathrooms>
                <Fireplace>true</Fireplace>
                <SquareFootage>1400</SquareFootage>
                <DwellingValue>145000</DwellingValue>
                <NewlyPurchased>true</NewlyPurchased>
                <ConstractionClass>Standard</ConstractionClass>
                <ConstructionType>Wood Frame</ConstructionType>
                <RoofType>Asphalt Shingle</RoofType>
                <PanelType>Circuit Breaker</PanelType>
                <ProximityWater>Not Applicable</ProximityWater>
                <Dog>true</Dog>
                <DogType>None</DogType>
                <ExteriorWalls>Mostly Brick</ExteriorWalls>
                <HeatingType>Gas Forced Air</HeatingType>
                <WiringType>Copper</WiringType>
                <PropertyFeatures>
                    <Deadbolt_Locks>true</Deadbolt_Locks>
                    <Smoke_Alarm>true</Smoke_Alarm>
                    <Fire_Extinguisher>true</Fire_Extinguisher>
                    <Manned_Fire_Station_Within_5_Miles>true</Manned_Fire_Station_Within_5_Miles>
                    <Fire_Hydrant_Within_1000_Feet>true</Fire_Hydrant_Within_1000_Feet>
                    <Indoor_Sprinklers>true</Indoor_Sprinklers>
                    <Copper_Water_Pipes>true</Copper_Water_Pipes>
                    <Brush_Hazard_within_500_feet>true</Brush_Hazard_within_500_feet>
                    <Flood_Area>true</Flood_Area>
                    <Central_Air_Conditioning>true</Central_Air_Conditioning>
                    <Sauna>true</Sauna>
                    <Hot_Tub>true</Hot_Tub>
                    <Woodburning_Stove>true</Woodburning_Stove>
                    <Sump_Pump>true</Sump_Pump>
                    <In_Ground_Swimming_Pool>true</In_Ground_Swimming_Pool>
                    <Swimming_Pool_Is_Fenced>true</Swimming_Pool_Is_Fenced>
                    <Smoker_In_Household>true</Smoker_In_Household>
                </PropertyFeatures>
                <Claims>
                    <Claim>
                        <Date>2001-01-01</Date>
                        <Type>Weather</Type>
                        <AmountPaid>0.0</AmountPaid>
                    </Claim>
                </Claims>
            </Property>
        </Properties>
        <CurrentInsurance>
            <CurrentlyInsured>true</CurrentlyInsured>
            <CurrentPolicy>
                <CarrierID>0</CarrierID>
                <Carrier>Carrier</Carrier>
                <Expiration>2001-01-01</Expiration>
                <InsuredSince>2001-01-01</InsuredSince>
            </CurrentPolicy>
            <LapsedPolicy>true</LapsedPolicy>
        </CurrentInsurance>
        <RequestedCoverage>
            <CoverageType>Full Package</CoverageType>
            <Liability>100000</Liability>
            <Deductible>100</Deductible>
            <Reason>New Purchase</Reason>
        </RequestedCoverage>
    </HomeInsurance>
</InsuranceRequest>

<?xml version="1.0" encoding="UTF-8"?>

<InsuranceRequest xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:noNamespaceSchemaLocation="InsuranceRequest.xsd">
	<TCPAInfo>
    	<ConsumerIPAddress>195.201.0.78</ConsumerIPAddress>
    	<LeadBornOnDateTimeUTC>2001-12-31T12:00:00-06:00</LeadBornOnDateTimeUTC>
    	<UserAgent>UserAgent</UserAgent>
    	<TCPAOptIn>true</TCPAOptIn>
	</TCPAInfo>
  <ContactInfo>
    <FirstName>FirstName</FirstName>
    <LastName>LastName</LastName>
    <Address>123 Address</Address>
    <ZipCode>80124</ZipCode>
    <City>City</City>
    <County>County</County>
    <State>CO</State>
    <PhoneDay>1231231234</PhoneDay>
    <Email>user@host.com</Email>
  </ContactInfo>
  <Tcpa2025>1</Tcpa2025>
  <Tcpa2025Type>checkboxu</Tcpa2025Type>
  <Tcpa2025Exclusive>1</Tcpa2025Exclusive>
  <OriginationUrl>https://myform.com/auto</OriginationUrl>
  <HomeInsurance>
    <ApplicantInfo>
      <DOB>2001-01-01</DOB>
      <IsMilitary>false</IsMilitary>
      <Credit>Poor</Credit>
      <YearsAtCurrentResidence>0</YearsAtCurrentResidence>
      <YearsAtPreviousResidence>0</YearsAtPreviousResidence>
    </ApplicantInfo>
    <Properties>
      <Property>
        <PropertyType>Single Family</PropertyType>
        <Occupancy>Primary Residence</Occupancy>
        <Garage>No Garage</Garage>
        <Foundation>Basement</Foundation>
        <HomeSecurity>No Alarm</HomeSecurity>
        <YearBuilt>1991</YearBuilt>
        <YearUpgraded>1999</YearUpgraded>
        <Stories>1</Stories>
        <Bedrooms>3</Bedrooms>
        <Bathrooms>2</Bathrooms>
        <Fireplace>true</Fireplace>
        <SquareFootage>1400</SquareFootage>
        <DwellingValue>145000</DwellingValue>
        <NewlyPurchased>true</NewlyPurchased>
        <ConstractionClass>Standard</ConstractionClass>
        <ConstructionType>Wood Frame</ConstructionType>
        <RoofType>Asphalt Shingle</RoofType>
        <PanelType>Circuit Breaker</PanelType>
        <ProximityWater>Not Applicable</ProximityWater>
        <Dog>true</Dog>
        <DogType>None</DogType>
        <ExteriorWalls>Mostly Brick</ExteriorWalls>
        <HeatingType>Gas Forced Air</HeatingType>
        <WiringType>Copper</WiringType>
        <PropertyFeatures>
          <Deadbolt_Locks>true</Deadbolt_Locks>
          <Smoke_Alarm>true</Smoke_Alarm>
          <Fire_Extinguisher>true</Fire_Extinguisher>
          <Manned_Fire_Station_Within_5_Miles>true</Manned_Fire_Station_Within_5_Miles>
          <Fire_Hydrant_Within_1000_Feet>true</Fire_Hydrant_Within_1000_Feet>
          <Indoor_Sprinklers>true</Indoor_Sprinklers>
          <Copper_Water_Pipes>true</Copper_Water_Pipes>
          <Brush_Hazard_within_500_feet>true</Brush_Hazard_within_500_feet>
          <Flood_Area>true</Flood_Area>
          <Central_Air_Conditioning>true</Central_Air_Conditioning>
          <Sauna>true</Sauna>
          <Hot_Tub>true</Hot_Tub>
          <Woodburning_Stove>true</Woodburning_Stove>
          <Sump_Pump>true</Sump_Pump>
          <In_Ground_Swimming_Pool>true</In_Ground_Swimming_Pool>
          <Swimming_Pool_Is_Fenced>true</Swimming_Pool_Is_Fenced>
          <Smoker_In_Household>true</Smoker_In_Household>
        </PropertyFeatures>
        <Claims>
          <Claim>
            <Date>2001-01-01</Date>
            <Type>Weather</Type>
            <AmountPaid>0.0</AmountPaid>
          </Claim>
        </Claims>
      </Property>
    </Properties>
    <CurrentInsurance>
      <CurrentlyInsured>true</CurrentlyInsured>
      <CurrentPolicy>
        <CarrierID>0</CarrierID>
        <Carrier>Carrier</Carrier>
        <Expiration>2001-01-01</Expiration>
        <InsuredSince>2001-01-01</InsuredSince>
      </CurrentPolicy>
      <LapsedPolicy>true</LapsedPolicy>
    </CurrentInsurance>
    <RequestedCoverage>
      <CoverageType>Full Package</CoverageType>
      <Liability>100000</Liability>
      <Deductible>100</Deductible>
      <Reason>New Purchase</Reason>
    </RequestedCoverage>
  </HomeInsurance>
</InsuranceRequest>

Life Ping:

<?xmlversion="1.0" encoding="UTF-8"?>
<InsuranceRequest xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:noNamespaceSchemaLocation="InsuranceRequest.xsd">
    <TCPAInfo>
        <ConsumerIPAddress>195.201.0.78</ConsumerIPAddress>
        <LeadBornOnDateTimeUTC>2001-12-31T12:00:00-06:00</LeadBornOnDateTimeUTC>
        <UserAgent>UserAgent</UserAgent>
        <TCPAOptIn>true</TCPAOptIn>
        <TCPAText>This is TCPA Text</TCPAText>
    </TCPAInfo>
    <ContactInfo>
        <ZipCode>92606</ZipCode>
        <City>Irvine</City>
        <State>CA</State>
    </ContactInfo>
    <Tcpa2025>1</Tcpa2025>
    <Tcpa2025Type>checkboxu</Tcpa2025Type>
    <Tcpa2025Exclusive>1</Tcpa2025Exclusive>
    <OriginationUrl>https://myform.com/quoteform</OriginationUrl>
    <LifeInsurance>
        <PersonInfo>
            <DOB>1915-06-14</DOB>
            <Gender>Female</Gender>
            <Height_FT>6</Height_FT>
            <Height_IN>0</Height_IN>
            <Weight>234</Weight>
            <Tobacco>false</Tobacco>
        </PersonInfo>
        <MedicalHistory>
            <Relative_Heart>false</Relative_Heart>
            <Relative_Cancer>false</Relative_Cancer>
            <Medication>false</Medication>
            <Medical_Treatment>false</Medical_Treatment>
            <Hospital>false</Hospital>
        </MedicalHistory>
        <MajorMedical>
            <AIDS_HIV>false</AIDS_HIV>
            <Alcohol_Drug_Abuse>false</Alcohol_Drug_Abuse>
            <Alzheimers_Disease>false</Alzheimers_Disease>
            <Asthma>false</Asthma>
            <Cancer>false</Cancer>
            <Cholesterol>false</Cholesterol>
            <Depression>false</Depression>
            <Diabetes>false</Diabetes>
            <Heart_Disease>false</Heart_Disease>
            <High_Blood_Pressure>false</High_Blood_Pressure>
            <Kidney_Disease>false</Kidney_Disease>
            <Liver_Disease>false</Liver_Disease>
            <Mental_Illness>false</Mental_Illness>
            <Pulmonary_Disease>false</Pulmonary_Disease>
            <Stroke>false</Stroke>
            <Ulcer>false</Ulcer>
            <Vascular_Disease>false</Vascular_Disease>
        </MajorMedical>
        <Occupation>Advertising/Public Relations</Occupation>
        <DUI>false</DUI>
        <Hazards>
            <Pilot>false</Pilot>
            <Felony>false</Felony>
            <OtherHazards>false</OtherHazards>
        </Hazards>
        <CurrentInsurance>
            <CurrentlyInsured>false</CurrentlyInsured>
        </CurrentInsurance>
        <RequestedCoverage>
            <CoverageType>Term 20 Years</CoverageType>
            <CoverageAmount>50000</CoverageAmount>
        </RequestedCoverage>
    </LifeInsurance>
</InsuranceRequest>

<?xml version="1.0" encoding="UTF-8"?>

<InsuranceRequest xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:noNamespaceSchemaLocation="InsuranceRequest.xsd">
  <TCPAInfo>
	    	<ConsumerIPAddress>195.201.0.78</ConsumerIPAddress>
	    	<LeadBornOnDateTimeUTC>2001-12-31T12:00:00-06:00</LeadBornOnDateTimeUTC>
	    	<UserAgent>UserAgent</UserAgent>
	    	<TCPAOptIn>true</TCPAOptIn>
	</TCPAInfo>  
  <ContactInfo>
    <ZipCode>92606</ZipCode>
    <City>Irvine</City>
    <State>CA</State>
  </ContactInfo>

	<Tcpa2025>1</Tcpa2025>
	<Tcpa2025Type>checkboxu</Tcpa2025Type>
	<Tcpa2025Exclusive>1</Tcpa2025Exclusive>
    <OriginationUrl>https://myform.com/auto</OriginationUrl>

    <LifeInsurance>
    <PersonInfo>
    <DOB>1915-06-14</DOB>
    <Gender>Female</Gender>
    <Height_FT>6</Height_FT>
    <Height_IN>0</Height_IN>
    <Weight>234</Weight>
    <Tobacco>false</Tobacco>
    </PersonInfo>
    <MedicalHistory>
    <Relative_Heart>false</Relative_Heart>
    <Relative_Cancer>false</Relative_Cancer>
    <Medication>false</Medication>
    <Medical_Treatment>false</Medical_Treatment>
    <Hospital>false</Hospital>
    </MedicalHistory>
    <MajorMedical>
    <AIDS_HIV>false</AIDS_HIV>
    <Alcohol_Drug_Abuse>false</Alcohol_Drug_Abuse>
    <Alzheimers_Disease>false</Alzheimers_Disease>
    <Asthma>false</Asthma>
    <Cancer>false</Cancer>
    <Cholesterol>false</Cholesterol>
    <Depression>false</Depression>
    <Diabetes>false</Diabetes>
    <Heart_Disease>false</Heart_Disease>
    <High_Blood_Pressure>false</High_Blood_Pressure>
    <Kidney_Disease>false</Kidney_Disease>
    <Liver_Disease>false</Liver_Disease>
    <Mental_Illness>false</Mental_Illness>
    <Pulmonary_Disease>false</Pulmonary_Disease>
    <Stroke>false</Stroke>
    <Ulcer>false</Ulcer>
    <Vascular_Disease>false</Vascular_Disease>
    </MajorMedical>
    <Occupation>Advertising/Public Relations</Occupation>
    <DUI>false</DUI>
    <Hazards>
    <Pilot>false</Pilot>
    <Felony>false</Felony>
    <OtherHazards>false</OtherHazards>
    </Hazards>
    <CurrentInsurance>
    <CurrentlyInsured>false</CurrentlyInsured>
    </CurrentInsurance>
    <RequestedCoverage>
    <CoverageType>Term 20 Years</CoverageType>
    <CoverageAmount>50000</CoverageAmount>
    </RequestedCoverage>
    </LifeInsurance>
    </InsuranceRequest>

Life Post:

<?xmlversion="1.0" encoding="UTF-8"?>
<InsuranceRequest xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:noNamespaceSchemaLocation="InsuranceRequest.xsd">
    <TCPAInfo>
        <ConsumerIPAddress>195.201.0.78</ConsumerIPAddress>
        <LeadBornOnDateTimeUTC>2001-12-31T12:00:00-06:00</LeadBornOnDateTimeUTC>
        <UserAgent>UserAgent</UserAgent>
        <TCPAOptIn>true</TCPAOptIn>
        <TCPAText>This is TCPA Text</TCPAText>
    </TCPAInfo>
    <ContactInfo>
        <FirstName>FirstName</FirstName>
        <LastName>LastName</LastName>
        <Address>123 Address</Address>
        <ZipCode>80124</ZipCode>
        <City>City</City>
        <County>County</County>
        <State>CO</State>
        <PhoneDay>3031231234</PhoneDay>
        <Email>user@host.com</Email>
    </ContactInfo>
    <Tcpa2025>1</Tcpa2025>
    <Tcpa2025Type>checkboxu</Tcpa2025Type>
    <Tcpa2025Exclusive>1</Tcpa2025Exclusive>
    <OriginationUrl>https://myform.com/quoteform</OriginationUrl>
    <LifeInsurance>
        <PersonInfo>
            <DOB>2001-01-01</DOB>
            <Gender>Female</Gender>
            <Height_FT>5</Height_FT>
            <Height_IN>1</Height_IN>
            <Weight>115</Weight>
            <Tobacco>true</Tobacco>
        </PersonInfo>
        <MedicalHistory>
            <Relative_Heart>true</Relative_Heart>
            <Relative_Cancer>true</Relative_Cancer>
            <Medication>true</Medication>
            <Medical_Treatment>true</Medical_Treatment>
            <Hospital>true</Hospital>
        </MedicalHistory>
        <MajorMedical>
            <AIDS_HIV>true</AIDS_HIV>
            <Alcohol_Drug_Abuse>true</Alcohol_Drug_Abuse>
            <Alzheimers_Disease>true</Alzheimers_Disease>
            <Asthma>true</Asthma>
            <Cancer>true</Cancer>
            <Cholesterol>true</Cholesterol>
            <Depression>true</Depression>
            <Diabetes>true</Diabetes>
            <Heart_Disease>true</Heart_Disease>
            <High_Blood_Pressure>true</High_Blood_Pressure>
            <Kidney_Disease>true</Kidney_Disease>
            <Liver_Disease>true</Liver_Disease>
            <Mental_Illness>true</Mental_Illness>
            <Pulmonary_Disease>true</Pulmonary_Disease>
            <Stroke>true</Stroke>
            <Ulcer>true</Ulcer>
            <Vascular_Disease>true</Vascular_Disease>
        </MajorMedical>
        <Occupation>Advertising/Public Relations</Occupation>
        <DUI>true</DUI>
        <Hazards>
            <Pilot>true</Pilot>
            <Felony>true</Felony>
            <OtherHazards>true</OtherHazards>
        </Hazards>
        <CurrentInsurance>
            <CurrentlyInsured>true</CurrentlyInsured>
        </CurrentInsurance>
        <RequestedCoverage>
            <CoverageType>Term 1 Year</CoverageType>
            <CoverageAmount>5000</CoverageAmount>
        </RequestedCoverage>
    </LifeInsurance>
</InsuranceRequest>

<?xml version="1.0" encoding="UTF-8"?>

<InsuranceRequest xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:noNamespaceSchemaLocation="InsuranceRequest.xsd">
	<TCPAInfo>
	   	<ConsumerIPAddress>195.201.0.78</ConsumerIPAddress>
	   	<LeadBornOnDateTimeUTC>2001-12-31T12:00:00-06:00</LeadBornOnDateTimeUTC>
	   	<UserAgent>UserAgent</UserAgent>
	   	<TCPAOptIn>true</TCPAOptIn>
	</TCPAInfo>	
  <ContactInfo>
    <FirstName>FirstName</FirstName>
    <LastName>LastName</LastName>
    <Address>123 Address</Address>
    <ZipCode>80124</ZipCode>
    <City>City</City>
    <County>County</County>
    <State>CO</State>
    <PhoneDay>3031231234</PhoneDay>
    <Email>user@host.com</Email>
  </ContactInfo>

  <Tcpa2025>1</Tcpa2025>
  <Tcpa2025Type>checkboxu</Tcpa2025Type>
  <Tcpa2025Exclusive>1</Tcpa2025Exclusive>
  <OriginationUrl>https://myform.com/auto</OriginationUrl>

  <LifeInsurance>
    <PersonInfo>
      <DOB>2001-01-01</DOB>
      <Gender>Female</Gender>
      <Height_FT>5</Height_FT>
      <Height_IN>1</Height_IN>
      <Weight>115</Weight>
      <Tobacco>true</Tobacco>
    </PersonInfo>
    <MedicalHistory>
      <Relative_Heart>true</Relative_Heart>
      <Relative_Cancer>true</Relative_Cancer>
      <Medication>true</Medication>
      <Medical_Treatment>true</Medical_Treatment>
      <Hospital>true</Hospital>
    </MedicalHistory>
    <MajorMedical>
      <AIDS_HIV>true</AIDS_HIV>
      <Alcohol_Drug_Abuse>true</Alcohol_Drug_Abuse>
      <Alzheimers_Disease>true</Alzheimers_Disease>
      <Asthma>true</Asthma>
      <Cancer>true</Cancer>
      <Cholesterol>true</Cholesterol>
      <Depression>true</Depression>
      <Diabetes>true</Diabetes>
      <Heart_Disease>true</Heart_Disease>
      <High_Blood_Pressure>true</High_Blood_Pressure>
      <Kidney_Disease>true</Kidney_Disease>
      <Liver_Disease>true</Liver_Disease>
      <Mental_Illness>true</Mental_Illness>
      <Pulmonary_Disease>true</Pulmonary_Disease>
      <Stroke>true</Stroke>
      <Ulcer>true</Ulcer>
      <Vascular_Disease>true</Vascular_Disease>
    </MajorMedical>
    <Occupation>Advertising/Public Relations</Occupation>
    <DUI>true</DUI>
    <Hazards>
      <Pilot>true</Pilot>
      <Felony>true</Felony>
      <OtherHazards>true</OtherHazards>
    </Hazards>
    <CurrentInsurance>
      <CurrentlyInsured>true</CurrentlyInsured>
    </CurrentInsurance>
    <RequestedCoverage>
      <CoverageType>Term 1 Year</CoverageType>
      <CoverageAmount>5000</CoverageAmount>
    </RequestedCoverage>
  </LifeInsurance>
</InsuranceRequest>

Health Ping:

<InsuranceRequest>
    <TCPAInfo>
        <ConsumerIPAddress>195.201.0.78</ConsumerIPAddress>
        <LeadBornOnDateTimeUTC>2001-12-31T12:00:00-06:00</LeadBornOnDateTimeUTC>
        <UserAgent>UserAgent</UserAgent>
        <TCPAOptIn>true</TCPAOptIn>
        <TCPAText>This is TCPA text</TCPAText>
    </TCPAInfo>
    <ContactInfo>
        <ZipCode>02631</ZipCode>
        <City>Brewster</City>
        <State>MA</State>
    </ContactInfo>
    <Tcpa2025>1</Tcpa2025>
    <Tcpa2025Type>checkboxu</Tcpa2025Type>
    <Tcpa2025Exclusive>1</Tcpa2025Exclusive>
    <OriginationUrl>https://myform.com/quoteform</OriginationUrl>
    <HealthInsurance>
        <ApplicantInfo>
            <DOB>1976-11-13</DOB>
            <Gender>Female</Gender>
            <Height_FT>5</Height_FT>
            <Height_IN>2</Height_IN>
            <Weight>110</Weight>
            <Tobacco>false</Tobacco>
            <MaritalStatus>Single</MaritalStatus>
            <Education>Other Professional Degree</Education>
            <Occupation>Restaurant/Food Service</Occupation>
            <USResidence>true</USResidence>
        </ApplicantInfo>
        <Dependents/>
        <SelfEmployed>false</SelfEmployed>
        <DUI>false</DUI>
        <ExpectantMother>false</ExpectantMother>
        <MedicalHistory>
            <Relative_Heart>false</Relative_Heart>
            <Relative_Cancer>false</Relative_Cancer>
            <Medication>false</Medication>
            <Medical_Treatment>false</Medical_Treatment>
            <Hospital>false</Hospital>
        </MedicalHistory>
        <MajorMedical>
            <AIDS_HIV>false</AIDS_HIV>
            <Alcohol_Drug_Abuse>false</Alcohol_Drug_Abuse>
            <Alzheimers_Disease>false</Alzheimers_Disease>
            <Asthma>false</Asthma>
            <Cancer>false</Cancer>
            <Cholesterol>false</Cholesterol>
            <Depression>false</Depression>
            <Diabetes>false</Diabetes>
            <Heart_Disease>false</Heart_Disease>
            <High_Blood_Pressure>false</High_Blood_Pressure>
            <Kidney_Disease>false</Kidney_Disease>
            <Liver_Disease>false</Liver_Disease>
            <Mental_Illness>false</Mental_Illness>
            <Pulmonary_Disease>false</Pulmonary_Disease>
            <Stroke>false</Stroke>
            <Ulcer>false</Ulcer>
            <Vascular_Disease>false</Vascular_Disease>
        </MajorMedical>
        <CurrentInsurance>
            <CurrentlyInsured>true</CurrentlyInsured>
            <CurrentPolicy>
                <CarrierID>144</CarrierID>
                <Carrier>Farm Bureau</Carrier>
                <Expiration>2011-01-31</Expiration>
                <InsuredSince>2009-03-31</InsuredSince>
            </CurrentPolicy>
        </CurrentInsurance>
        <RequestedCoverage>Individual Family</RequestedCoverage>
    </HealthInsurance>
</InsuranceRequest>

<InsuranceRequest>
	<TCPAInfo>
	    <ConsumerIPAddress>195.201.0.78</ConsumerIPAddress>
	    <LeadBornOnDateTimeUTC>2001-12-31T12:00:00-06:00</LeadBornOnDateTimeUTC>
	    <UserAgent>UserAgent</UserAgent>
	    <TCPAOptIn>true</TCPAOptIn>
	</TCPAInfo>
	<ContactInfo>
		<ZipCode>02631</ZipCode>
		<City>Brewster</City>
		<State>MA</State>
	</ContactInfo>
	<Tcpa2025>1</Tcpa2025>
	<Tcpa2025Type>checkboxu</Tcpa2025Type>
	<Tcpa2025Exclusive>1</Tcpa2025Exclusive>
    <OriginationUrl>https://myform.com/auto</OriginationUrl>
	<HealthInsurance>
		<ApplicantInfo>
			<DOB>1976-11-13</DOB>
			<Gender>Female</Gender>
			<Height_FT>5</Height_FT>
			<Height_IN>2</Height_IN>
			<Weight>110</Weight>
			<Tobacco>false</Tobacco>
			<MaritalStatus>Single</MaritalStatus>
			<Education>Other Professional Degree</Education>
			<Occupation>Restaurant/Food Service</Occupation>
			<USResidence>true</USResidence>
		</ApplicantInfo>
		<Dependents />
		<SelfEmployed>false</SelfEmployed>
		<DUI>false</DUI>
		<ExpectantMother>false</ExpectantMother>
		<MedicalHistory>
			<Relative_Heart>false</Relative_Heart>
			<Relative_Cancer>false</Relative_Cancer>
			<Medication>false</Medication>
			<Medical_Treatment>false</Medical_Treatment>
			<Hospital>false</Hospital>
		</MedicalHistory>
		<MajorMedical>
			<AIDS_HIV>false</AIDS_HIV>
			<Alcohol_Drug_Abuse>false</Alcohol_Drug_Abuse>
			<Alzheimers_Disease>false</Alzheimers_Disease>
			<Asthma>false</Asthma>
			<Cancer>false</Cancer>
			<Cholesterol>false</Cholesterol>
			<Depression>false</Depression>
			<Diabetes>false</Diabetes>
			<Heart_Disease>false</Heart_Disease>
			<High_Blood_Pressure>false</High_Blood_Pressure>
			<Kidney_Disease>false</Kidney_Disease>
			<Liver_Disease>false</Liver_Disease>
			<Mental_Illness>false</Mental_Illness>
			<Pulmonary_Disease>false</Pulmonary_Disease>
			<Stroke>false</Stroke>
			<Ulcer>false</Ulcer>
			<Vascular_Disease>false</Vascular_Disease>
		</MajorMedical>
		<CurrentInsurance>
			<CurrentlyInsured>true</CurrentlyInsured>
			<CurrentPolicy>
				<CarrierID>144</CarrierID>
				<Carrier>Farm Bureau</Carrier>
				<Expiration>2011-01-31</Expiration>
				<InsuredSince>2009-03-31</InsuredSince>
			</CurrentPolicy>
		</CurrentInsurance>
		<RequestedCoverage>Individual Family</RequestedCoverage>
	</HealthInsurance>
</InsuranceRequest>

Health Post:

<InsuranceRequest>
    <TCPAInfo>
        <ConsumerIPAddress>195.201.0.78</ConsumerIPAddress>
        <LeadBornOnDateTimeUTC>2001-12-31T12:00:00-06:00</LeadBornOnDateTimeUTC>
        <UserAgent>UserAgent</UserAgent>
        <TCPAOptIn>true</TCPAOptIn>
        <TCPAText>This is TCPA text</TCPAText>
    </TCPAInfo>
    <ContactInfo>
        <FirstName>FirstName</FirstName>
        <LastName>LastName</LastName>
        <Address>123 Address</Address>
        <ZipCode>02631</ZipCode>
        <City>Brewster</City>
        <State>MA</State>
        <PhoneDay>3031231234</PhoneDay>
        <Email>user@host.com</Email>
    </ContactInfo>
    <Tcpa2025>1</Tcpa2025>
    <Tcpa2025Type>checkboxu</Tcpa2025Type>
    <Tcpa2025Exclusive>1</Tcpa2025Exclusive>
    <OriginationUrl>https://myform.com/quoteform</OriginationUrl>
    <HealthInsurance>
        <ApplicantInfo>
            <DOB>1976-11-13</DOB>
            <Gender>Female</Gender>
            <Height_FT>5</Height_FT>
            <Height_IN>2</Height_IN>
            <Weight>110</Weight>
            <Tobacco>false</Tobacco>
            <MaritalStatus>Single</MaritalStatus>
            <Education>Other Professional Degree</Education>
            <Occupation>Restaurant/Food Service</Occupation>
            <USResidence>true</USResidence>
        </ApplicantInfo>
        <Dependents/>
        <SelfEmployed>false</SelfEmployed>
        <DUI>false</DUI>
        <ExpectantMother>false</ExpectantMother>
        <MedicalHistory>
            <Relative_Heart>false</Relative_Heart>
            <Relative_Cancer>false</Relative_Cancer>
            <Medication>false</Medication>
            <Medical_Treatment>false</Medical_Treatment>
            <Hospital>false</Hospital>
        </MedicalHistory>
        <MajorMedical>
            <AIDS_HIV>false</AIDS_HIV>
            <Alcohol_Drug_Abuse>false</Alcohol_Drug_Abuse>
            <Alzheimers_Disease>false</Alzheimers_Disease>
            <Asthma>false</Asthma>
            <Cancer>false</Cancer>
            <Cholesterol>false</Cholesterol>
            <Depression>false</Depression>
            <Diabetes>false</Diabetes>
            <Heart_Disease>false</Heart_Disease>
            <High_Blood_Pressure>false</High_Blood_Pressure>
            <Kidney_Disease>false</Kidney_Disease>
            <Liver_Disease>false</Liver_Disease>
            <Mental_Illness>false</Mental_Illness>
            <Pulmonary_Disease>false</Pulmonary_Disease>
            <Stroke>false</Stroke>
            <Ulcer>false</Ulcer>
            <Vascular_Disease>false</Vascular_Disease>
        </MajorMedical>
        <CurrentInsurance>
            <CurrentlyInsured>true</CurrentlyInsured>
            <CurrentPolicy>
                <CarrierID>144</CarrierID>
                <Carrier>Farm Bureau</Carrier>
                <Expiration>2011-01-31</Expiration>
                <InsuredSince>2009-03-31</InsuredSince>
            </CurrentPolicy>
        </CurrentInsurance>
        <RequestedCoverage>Individual Family</RequestedCoverage>
    </HealthInsurance>
</InsuranceRequest>

<?xml version="1.0" encoding="UTF-8"?>

<InsuranceRequest xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:noNamespaceSchemaLocation="InsuranceRequest.xsd">
  <ContactInfo>
    <FirstName>FirstName</FirstName>
    <LastName>LastName</LastName>
    <Address>123 Address</Address>
    <ZipCode>80124</ZipCode>
    <City>City</City>
    <County>County</County>
    <State>CO</State>
    <PhoneDay>3031231234</PhoneDay>
    <Email>user@host.com</Email>
  </ContactInfo>
  <Tcpa2025>1</Tcpa2025>
  <Tcpa2025Type>checkboxu</Tcpa2025Type>
  <Tcpa2025Exclusive>1</Tcpa2025Exclusive>
  <OriginationUrl>https://myform.com/auto</OriginationUrl>
  <HealthInsurance>
    <ApplicantInfo>
      <DOB>2001-01-01</DOB>
      <Gender>Female</Gender>
      <Height_FT>5</Height_FT>
      <Height_IN>1</Height_IN>
      <Weight>115</Weight>
      <Tobacco>true</Tobacco>
      <Occupation>Advertising/Public Relations</Occupation>
      <USResidence>true</USResidence>
    </ApplicantInfo>
    <Dependents/>
    <SelfEmployed>true</SelfEmployed>
    <DUI>true</DUI>
    <ExpectantMother>true</ExpectantMother>
    <MedicalHistory>
      <Relative_Heart>true</Relative_Heart>
      <Relative_Cancer>true</Relative_Cancer>
      <Medication>true</Medication>
      <Medical_Treatment>true</Medical_Treatment>
      <Hospital>true</Hospital>
    </MedicalHistory>
    <MajorMedical>
      <AIDS_HIV>true</AIDS_HIV>
      <Alcohol_Drug_Abuse>true</Alcohol_Drug_Abuse>
      <Alzheimers_Disease>true</Alzheimers_Disease>
      <Asthma>true</Asthma>
      <Cancer>true</Cancer>
      <Cholesterol>true</Cholesterol>
      <Depression>true</Depression>
      <Diabetes>true</Diabetes>
      <Heart_Disease>true</Heart_Disease>
      <High_Blood_Pressure>true</High_Blood_Pressure>
      <Kidney_Disease>true</Kidney_Disease>
      <Liver_Disease>true</Liver_Disease>
      <Mental_Illness>true</Mental_Illness>
      <Pulmonary_Disease>true</Pulmonary_Disease>
      <Stroke>true</Stroke>
      <Ulcer>true</Ulcer>
      <Vascular_Disease>true</Vascular_Disease>
    </MajorMedical>
    <CurrentInsurance>
      <CurrentlyInsured>true</CurrentlyInsured>
    </CurrentInsurance>
    <RequestedCoverage>Individual Family</RequestedCoverage>
  </HealthInsurance>
</InsuranceRequest>

Renter Ping:

<?xmlversion="1.0" encoding="UTF-8"?>
<InsuranceRequest xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:noNamespaceSchemaLocation="InsuranceRequest.xsd">
    <TCPAInfo>
        <ConsumerIPAddress>195.201.0.78</ConsumerIPAddress>
        <LeadBornOnDateTimeUTC>2001-12-31T12:00:00-06:00</LeadBornOnDateTimeUTC>
        <UserAgent>UserAgent</UserAgent>
        <TCPAOptIn>true</TCPAOptIn>
        <TCPAText>This is TCPA Text</TCPAText>
    </TCPAInfo>
    <ContactInfo>
        <ZipCode>77477</ZipCode>
        <City>Stafford</City>
        <State>TX</State>
    </ContactInfo>
    <Tcpa2025>1</Tcpa2025>
    <Tcpa2025Type>checkboxu</Tcpa2025Type>
    <Tcpa2025Exclusive>1</Tcpa2025Exclusive>
    <OriginationUrl>https://myform.com/quoteform</OriginationUrl>
    <RenterInsurance>
        <ApplicantInfo>
            <DOB>2001-01-01</DOB>
            <Credit>Poor</Credit>
        </ApplicantInfo>
        <Property>
            <Address1>Address1</Address1>
            <ZipCode>33333</ZipCode>
            <City>City</City>
            <State>TN</State>
            <PropertyType>Apartment</PropertyType>
            <HomeSecurity>No Alarm</HomeSecurity>
            <Stories>1</Stories>
            <Bedrooms>3</Bedrooms>
            <Bathrooms>2</Bathrooms>
            <SquareFootage>1221</SquareFootage>
            <ExteriorWalls>Mostly Brick</ExteriorWalls>
            <HeatingType>Gas Forced Air</HeatingType>
            <PropertyFeatures>
                <Deadbolt_Locks>true</Deadbolt_Locks>
                <Smoke_Alarm>true</Smoke_Alarm>
                <Fire_Extinguisher>true</Fire_Extinguisher>
                <Manned_Fire_Station_Within_5_Miles>true</Manned_Fire_Station_Within_5_Miles>
                <Fire_Hydrant_Within_1000_Feet>true</Fire_Hydrant_Within_1000_Feet>
                <Indoor_Sprinklers>true</Indoor_Sprinklers>
                <Copper_Water_Pipes>true</Copper_Water_Pipes>
                <Brush_Hazard_within_500_feet>true</Brush_Hazard_within_500_feet>
                <Flood_Area>true</Flood_Area>
                <Central_Air_Conditioning>true</Central_Air_Conditioning>
                <Sauna>true</Sauna>
                <Hot_Tub>true</Hot_Tub>
                <Woodburning_Stove>true</Woodburning_Stove>
                <Sump_Pump>true</Sump_Pump>
                <In_Ground_Swimming_Pool>true</In_Ground_Swimming_Pool>
                <Swimming_Pool_Is_Fenced>true</Swimming_Pool_Is_Fenced>
                <Smoker_In_Household>true</Smoker_In_Household>
            </PropertyFeatures>
            <Claims>
                <Claim>
                    <Date>2001-02-03</Date>
                    <Type>Theft</Type>
                    <AmountPaid>800</AmountPaid>
                </Claim>
            </Claims>
        </Property>
        <CurrentInsurance>
           <CurrentlyInsured>true</CurrentlyInsured>
        </CurrentInsurance>
        <RequestedCoverage>
            <ContentsValue>10000</ContentsValue>
            <Liability>50000</Liability>
            <Deductible>100</Deductible>
        </RequestedCoverage>
    </RenterInsurance>
</InsuranceRequest>

<?xml version="1.0" encoding="UTF-8"?>
	

<InsuranceRequest xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:noNamespaceSchemaLocation="InsuranceRequest.xsd">
	<TCPAInfo>
	   	<ConsumerIPAddress>195.201.0.78</ConsumerIPAddress>
	   	<LeadBornOnDateTimeUTC>2001-12-31T12:00:00-06:00</LeadBornOnDateTimeUTC>
	   	<UserAgent>UserAgent</UserAgent>
	   	<TCPAOptIn>true</TCPAOptIn>
	</TCPAInfo>
  <ContactInfo>
    <ZipCode>77477</ZipCode>
    <City>Stafford</City>
    <State>TX</State>
   </ContactInfo>

	<Tcpa2025>1</Tcpa2025>
	<Tcpa2025Type>checkboxu</Tcpa2025Type>
	<Tcpa2025Exclusive>1</Tcpa2025Exclusive>
    <OriginationUrl>https://myform.com/auto</OriginationUrl>

  <RenterInsurance>
    <ApplicantInfo>
      <DOB>2001-01-01</DOB>
      <Credit>Poor</Credit>
    </ApplicantInfo>
    <Property>
      <Address1>Address1</Address1>
      <ZipCode>33333</ZipCode>
      <City>City</City>
      <State>TN</State>
      <PropertyType>Apartment</PropertyType>
      <HomeSecurity>No Alarm</HomeSecurity>
      <Stories>1</Stories>
      <Bedrooms>3</Bedrooms>
      <Bathrooms>2</Bathrooms>
      <SquareFootage>1221</SquareFootage>
      <ExteriorWalls>Mostly Brick</ExteriorWalls>
      <HeatingType>Gas Forced Air</HeatingType>
      <PropertyFeatures>
        <Deadbolt_Locks>true</Deadbolt_Locks>
        <Smoke_Alarm>true</Smoke_Alarm>
        <Fire_Extinguisher>true</Fire_Extinguisher>
        <Manned_Fire_Station_Within_5_Miles>true</Manned_Fire_Station_Within_5_Miles>
        <Fire_Hydrant_Within_1000_Feet>true</Fire_Hydrant_Within_1000_Feet>
        <Indoor_Sprinklers>true</Indoor_Sprinklers>
        <Copper_Water_Pipes>true</Copper_Water_Pipes>
        <Brush_Hazard_within_500_feet>true</Brush_Hazard_within_500_feet>
        <Flood_Area>true</Flood_Area>
        <Central_Air_Conditioning>true</Central_Air_Conditioning>
        <Sauna>true</Sauna>
        <Hot_Tub>true</Hot_Tub>
        <Woodburning_Stove>true</Woodburning_Stove>
        <Sump_Pump>true</Sump_Pump>
        <In_Ground_Swimming_Pool>true</In_Ground_Swimming_Pool>
        <Swimming_Pool_Is_Fenced>true</Swimming_Pool_Is_Fenced>
        <Smoker_In_Household>true</Smoker_In_Household>
      </PropertyFeatures>
      <Claims>
      	<Claim>
      	    <Date>2001-02-03</Date>
      		<Type>Theft</Type>
      		<AmountPaid>800</AmountPaid>
      	</Claim>
      </Claims>
    </Property>
    <CurrentInsurance>
      <CurrentlyInsured>true</CurrentlyInsured>
    </CurrentInsurance>
    <RequestedCoverage>
      <ContentsValue>10000</ContentsValue>
      <Liability>50000</Liability>
      <Deductible>100</Deductible>
    </RequestedCoverage>
  </RenterInsurance>
</InsuranceRequest>

Renter Post:

<?xml version="1.0" encoding="UTF-8"?>
<InsuranceRequest xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:noNamespaceSchemaLocation="InsuranceRequest.xsd">
    <TCPAInfo>
        <ConsumerIPAddress>195.201.0.78</ConsumerIPAddress>
        <LeadBornOnDateTimeUTC>2001-12-31T12:00:00-06:00</LeadBornOnDateTimeUTC>
        <UserAgent>UserAgent</UserAgent>
        <TCPAOptIn>true</TCPAOptIn>
        <TCPAText>This is TCPA Text</TCPAText>
    </TCPAInfo>
    <ContactInfo>
        <FirstName>FirstName</FirstName>
        <LastName>LastName</LastName>
        <Address>Address</Address>
        <ZipCode>ZipCode</ZipCode>
        <City>City</City>
        <State>State</State>
        <PhoneDay>PhoneDay</PhoneDay>
        <PhoneEve>PhoneEve</PhoneEve>
        <PhoneCell>PhoneCell</PhoneCell>
        <Email>Email</Email>
    </ContactInfo>
    <Tcpa2025>1</Tcpa2025>
    <Tcpa2025Type>checkboxu</Tcpa2025Type>
    <Tcpa2025Exclusive>1</Tcpa2025Exclusive>
    <OriginationUrl>https://myform.com/quoteform</OriginationUrl>
    <RenterInsurance>
        <ApplicantInfo>
            <DOB>2001-01-01</DOB>
            <Credit>Poor</Credit>
        </ApplicantInfo>
        <Property>
            <Address1>Address1</Address1>
            <ZipCode>ZipCode</ZipCode>
            <City>City</City>
            <State>State</State>
            <PropertyType>Apartment</PropertyType>
            <HomeSecurity>No Alarm</HomeSecurity>
            <Stories>1</Stories>
            <Bedrooms>0</Bedrooms>
            <Bathrooms>0</Bathrooms>
            <SquareFootage>0</SquareFootage>
            <ExteriorWalls>Mostly Brick</ExteriorWalls>
            <HeatingType>Gas Forced Air</HeatingType>
            <PropertyFeatures>
                <Deadbolt_Locks>true</Deadbolt_Locks>
                <Smoke_Alarm>true</Smoke_Alarm>
                <Fire_Extinguisher>true</Fire_Extinguisher>
                <Manned_Fire_Station_Within_5_Miles>true</Manned_Fire_Station_Within_5_Miles>
                <Fire_Hydrant_Within_1000_Feet>true</Fire_Hydrant_Within_1000_Feet>
                <Indoor_Sprinklers>true</Indoor_Sprinklers>
                <Copper_Water_Pipes>true</Copper_Water_Pipes>
                <Brush_Hazard_within_500_feet>true</Brush_Hazard_within_500_feet>
                <Flood_Area>true</Flood_Area>
                <Central_Air_Conditioning>true</Central_Air_Conditioning>
                <Sauna>true</Sauna>
                <Hot_Tub>true</Hot_Tub>
                <Woodburning_Stove>true</Woodburning_Stove>
                <Sump_Pump>true</Sump_Pump>
                <In_Ground_Swimming_Pool>true</In_Ground_Swimming_Pool>
                <Swimming_Pool_Is_Fenced>true</Swimming_Pool_Is_Fenced>
                <Smoker_In_Household>true</Smoker_In_Household>
            </PropertyFeatures>
            <Claims/>
        </Property>
        <CurrentInsurance>
            <CurrentlyInsured>true</CurrentlyInsured>
        </CurrentInsurance>
        <RequestedCoverage>
            <ContentsValue>0</ContentsValue>
            <Liability>50000</Liability>
            <Deductible>100</Deductible>
        </RequestedCoverage>
    </RenterInsurance>
</InsuranceRequest>

<?xml version="1.0" encoding="UTF-8"?>
				
<InsuranceRequest xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:noNamespaceSchemaLocation="InsuranceRequest.xsd">
	<TCPAInfo>
	   	<ConsumerIPAddress>195.201.0.78</ConsumerIPAddress>
	   	<LeadBornOnDateTimeUTC>2001-12-31T12:00:00-06:00</LeadBornOnDateTimeUTC>
	   	<UserAgent>UserAgent</UserAgent>
	   	<TCPAOptIn>true</TCPAOptIn>
	</TCPAInfo>
	<ContactInfo>
		<FirstName>FirstName</FirstName>
		<LastName>LastName</LastName>
		<Address>Address</Address>
		<ZipCode>ZipCode</ZipCode>
		<City>City</City>
		<State>State</State>
		<PhoneDay>PhoneDay</PhoneDay>
		<PhoneEve>PhoneEve</PhoneEve>
		<PhoneCell>PhoneCell</PhoneCell>
		<Email>Email</Email>
	</ContactInfo>

	<Tcpa2025>1</Tcpa2025>
	<Tcpa2025Type>checkboxu</Tcpa2025Type>
	<Tcpa2025Exclusive>1</Tcpa2025Exclusive>
    <OriginationUrl>https://myform.com/auto</OriginationUrl>

	<RenterInsurance>
		<ApplicantInfo>
			<DOB>2001-01-01</DOB>
			<Credit>Poor</Credit>
		</ApplicantInfo>
		<Property>
			<Address1>Address1</Address1>
			<ZipCode>ZipCode</ZipCode>
			<City>City</City>
			<State>State</State>
			<PropertyType>Apartment</PropertyType>
			<HomeSecurity>No Alarm</HomeSecurity>
			<Stories>1</Stories>
			<Bedrooms>0</Bedrooms>
			<Bathrooms>0</Bathrooms>
			<SquareFootage>0</SquareFootage>
			<ExteriorWalls>Mostly Brick</ExteriorWalls>
			<HeatingType>Gas Forced Air</HeatingType>
			<PropertyFeatures>
				<Deadbolt_Locks>true</Deadbolt_Locks>
				<Smoke_Alarm>true</Smoke_Alarm>
				<Fire_Extinguisher>true</Fire_Extinguisher>
				<Manned_Fire_Station_Within_5_Miles>true</Manned_Fire_Station_Within_5_Miles>
				<Fire_Hydrant_Within_1000_Feet>true</Fire_Hydrant_Within_1000_Feet>
				<Indoor_Sprinklers>true</Indoor_Sprinklers>
				<Copper_Water_Pipes>true</Copper_Water_Pipes>
				<Brush_Hazard_within_500_feet>true</Brush_Hazard_within_500_feet>
				<Flood_Area>true</Flood_Area>
				<Central_Air_Conditioning>true</Central_Air_Conditioning>
				<Sauna>true</Sauna>
				<Hot_Tub>true</Hot_Tub>
				<Woodburning_Stove>true</Woodburning_Stove>
				<Sump_Pump>true</Sump_Pump>
				<In_Ground_Swimming_Pool>true</In_Ground_Swimming_Pool>
				<Swimming_Pool_Is_Fenced>true</Swimming_Pool_Is_Fenced>
				<Smoker_In_Household>true</Smoker_In_Household>
			</PropertyFeatures>
			<Claims />
		</Property>
		<CurrentInsurance>
			<CurrentlyInsured>true</CurrentlyInsured>
		</CurrentInsurance>
		<RequestedCoverage>
			<ContentsValue>0</ContentsValue>
			<Liability>50000</Liability>
			<Deductible>100</Deductible>
		</RequestedCoverage>
	</RenterInsurance>
</InsuranceRequest>

Medicare Ping:

<?xmlversion="1.0" encoding="UTF-8"?>
<InsuranceRequest>
    <TCPAInfo>
        <ConsumerIPAddress>195.201.0.78</ConsumerIPAddress>
        <LeadBornOnDateTimeUTC>2001-12-31T12:00:00-06:00</LeadBornOnDateTimeUTC>
        <UserAgent>UserAgent</UserAgent>
        <TCPAOptIn>true</TCPAOptIn>
        <TCPAText>This is TCPA Text</TCPAText>
    </TCPAInfo>
    <ContactInfo>
        <ZipCode>32808</ZipCode>
        <City>Celebration</City>
        <State>FL</State>
    </ContactInfo>
    <Tcpa2025>1</Tcpa2025>
    <Tcpa2025Type>checkboxu</Tcpa2025Type>
    <Tcpa2025Exclusive>1</Tcpa2025Exclusive>
    <OriginationUrl>https://myform.com/quoteform</OriginationUrl>
    <MedicareInsurance>
        <DOB>1940-01-30</DOB>
    </MedicareInsurance>
</InsuranceRequest>

<?xml version="1.0" encoding="UTF-8"?>
<InsuranceRequest>
	<TCPAInfo>
		<ConsumerIPAddress>195.201.0.78</ConsumerIPAddress>
		<LeadBornOnDateTimeUTC>2001-12-31T12:00:00-06:00</LeadBornOnDateTimeUTC>
		<UserAgent>UserAgent</UserAgent>
		<TCPAOptIn>true</TCPAOptIn>
	</TCPAInfo>
	<ContactInfo>
		<ZipCode>32808</ZipCode>
		<City>Celebration</City>
		<State>FL</State>
	</ContactInfo>

	<Tcpa2025>1</Tcpa2025>
	<Tcpa2025Type>checkboxu</Tcpa2025Type>
	<Tcpa2025Exclusive>1</Tcpa2025Exclusive>
    <OriginationUrl>https://myform.com/auto</OriginationUrl>

	<MedicareInsurance>
		<DOB>1940-01-30</DOB>
	</MedicareInsurance>
</InsuranceRequest>

Medicare Post:

<?xmlversion="1.0" encoding="UTF-8"?>
<InsuranceRequest>
    <TCPAInfo>
        <ConsumerIPAddress>195.201.0.78</ConsumerIPAddress>
        <LeadBornOnDateTimeUTC>2001-12-31T12:00:00-06:00</LeadBornOnDateTimeUTC>
        <UserAgent>UserAgent</UserAgent>
        <TCPAOptIn>true</TCPAOptIn>
        <TCPAText>This is TCPA Text</TCPAText>
    </TCPAInfo>
    <ContactInfo>
        <FirstName>FirstName</FirstName>
        <LastName>LastName</LastName>
        <Address>303 Main St</Address>
        <ZipCode>32808</ZipCode>
        <City>Celebration</City>
        <State>FL</State>
        <PhoneDay>1231231234</PhoneDay>
        <Email>user@host.com</Email>
    </ContactInfo>
    <Tcpa2025>1</Tcpa2025>
    <Tcpa2025Type>checkboxu</Tcpa2025Type>
    <Tcpa2025Exclusive>1</Tcpa2025Exclusive>
    <OriginationUrl>https://myform.com/quoteform</OriginationUrl>
    <MedicareInsurance>
        <DOB>1940-01-30</DOB>
    </MedicareInsurance>
</InsuranceRequest>

<?xml version="1.0" encoding="UTF-8"?>
<InsuranceRequest>
	<TCPAInfo>
		<ConsumerIPAddress>195.201.0.78</ConsumerIPAddress>
		<LeadBornOnDateTimeUTC>2001-12-31T12:00:00-06:00</LeadBornOnDateTimeUTC>
		<UserAgent>UserAgent</UserAgent>
		<TCPAOptIn>true</TCPAOptIn>
	</TCPAInfo>
	<ContactInfo>
		<FirstName>FirstName</FirstName>
		<LastName>LastName</LastName>
		<Address>303 Main St</Address>
		<ZipCode>32808</ZipCode>
		<City>Celebration</City>
		<State>FL</State>
		<PhoneDay>1231231234</PhoneDay>
		<Email>user@host.com</Email>
	</ContactInfo>

	<Tcpa2025>1</Tcpa2025>
	<Tcpa2025Type>checkboxu</Tcpa2025Type>
	<Tcpa2025Exclusive>1</Tcpa2025Exclusive>
    <OriginationUrl>https://myform.com/auto</OriginationUrl>

	<MedicareInsurance>
		<DOB>1940-01-30</DOB>
	</MedicareInsurance>
</InsuranceRequest>

Sample Responses

Success Response:

<QuoteEngineResult xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema">
<Result>OK</Result>
<LeadID id="122968"/>
<Payout>6.18</Payout>
</QuoteEngineResult>

<QuoteEngineResult xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema">
  <Result>OK</Result>
  <LeadID id="122968"/>
  <Payout>6.18</Payout>
</QuoteEngineResult>

Rejected Response:

<QuoteEngineResult xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema">
<Result>REJECTED</Result>
<LeadID id="122946"/>
<Payout>0</Payout>
</QuoteEngineResult>

<QuoteEngineResult xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema">
  <Result>REJECTED</Result>
  <LeadID  id="122946" />
  <Payout>0</Payout>
</QuoteEngineResult>

Duplicate Response:

<QuoteEngineResult xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema">
<Result>DUPLICATE</Result>
<Message>This lead is a duplicate</Message>
<LeadID id="122973"/>
<Payout>0</Payout>
</QuoteEngineResult>

<QuoteEngineResult xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema">
  <Result>DUPLICATE</Result>
  <Message>This lead is a duplicate</Message>
  <LeadID  id="122973" />
  <Payout>0</Payout>
</QuoteEngineResult>

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