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Parent Account # *

Parent Account Business Name *

Child Account #(s) & Business Names *

Please answer the following questions and for each, please explain how you know the answer and how confident on a scale of 1 to 5 you are in your answer:

Is this business a second location of a current customer, and is the ownership the same or similar as the current customer? Please explain and rate your confidence *

Is this business owned by the owner of a current customer, or does this business have significant overlapping ownership with a business owned by an existing customer? Please explain and rate your confidence *

Is this business owned by the SPOUSE (husband or wife as opposed to other relationships) of a current customer? Please explain and rate your confidence *

Does this business have the same billing address, or billing/payment information on file with AMP as another existing customer? Please explain and rate your confidence *

Does this business have the same business name, or phone number, or website, or managed Google listing as the prior business (despite different ownership) as an existing or prior customer? Please explain and rate your confidence *

Your Name *