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Get TX FIN517 2015

_________________ 2. Licensee’s Mailing Address: _________________________________________________________ _________________________________________________________ 3. License Number: ___________________ 4. Licensee’s Email Address: ______________________________ 5. Check one box: a) This application is for an exemption from continuing education: My signature below certifies that I have been licensed by the Texas Department of Insurance for at least 20 continuous years, with no gaps in li.

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