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Get Dd Form 2056 6

I HAVE CURRENT AUTHORIZATION TO SOLICIT INSURANCE BUSINESS ON THIS INSTALLATION AND THE ABOVE SOLICITATION WAS ACCOMPLISHED IN ACCORDANCE WITH ALL APPLICABLE REGULATIONS NAME AND ADDRESS OF HOME OFFICE OF COMPANY NAME AND LOCAL ADDRESS OF REPRESENTATIVE DA FORM 2056 AUG 2010 SIGNATURE OF REPRESENTATIVE PREVIOUS EDITIONS ARE OBSOLETE. Page 1 of 2 APD LC v1.00ES AMOUNT AMOUNT OF PREMIUM PER I HAVE THE FOLLOWING INSURANCE IN FORCE List in sequence.

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