Trusted Form

Lead Verification Details

Securely captured and verified lead information

This lead has been verified and consent recorded.

Contact Information

First Name

Gwendolyn A

Last Name

Thomas

ZIP Code

14048

State

NY

Date of Birth

1940-09-08

Verification Log

TokenLT-MVGRKGH5-YE9B7R
Submitted10/20/2026, 2:13:45 PM
IP Address58.65.217.146
Time on Form58s
Consent✓ Recorded