Trusted Form

Lead Verification Details

Securely captured and verified lead information

This lead has been verified and consent recorded.

Contact Information

First Name

MARY

Last Name

RISER

ZIP Code

77021

State

TX

Date of Birth

1947-11-11

Verification Log

TokenFE-MVR0ML4N-1P1641
Submitted10/27/2026, 6:25:03 PM
IP Address175.107.245.96
Time on Form263s
Consent✓ Recorded