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Get TX TDLR LIC002 2012

    For renewals, did this conviction occur since your license was last issued:  yes   no  Are you currently on parole?  yes  no               Are you currently on probation?  yes  no    If YES, list your reporting officer’s name: ________________________ Phone number: ________________    By signing below, I affirm I am the applicant completing this form and understand that if I fail to  pro.

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