Follow the steps to fill out the HAWTHORNE LN form accurately.

1. Click the ‘Get Form’ button to access the HAWTHORNE LN online document. This action will open the form in an editable format.
2. Begin by filling out the policyholder information, which includes the name, street address, city, state, and ZIP code. Ensure that all details are accurate and up to date.
3. In the section where the insurance carrier or company certifies the coverage, check the required details. Confirm that the carrier is solvent and authorized to operate in Illinois. Complete all relevant points listed, ensuring you describe the motor vehicles covered.
4. Provide the insurance policy details, including the number of vehicles and the corresponding insurance amounts for bodily injury and property damage coverage. Be meticulous with these figures to meet regulatory requirements.
5. Fill in the information for each insured vehicle listed. This includes the year, make, ownership status (owned or leased), serial number, policy number, and the expiration date.
6. The authorized agent must sign the document, certifying they are authorized to execute the affidavit and that the information provided is true and correct. Include their printed name, the company name, and contact information.
7. Finally, a notary public must complete their section by witnessing the signature of the authorized agent. This includes the notary’s printed name, address, and the official seal.
8. Once all fields are completed, review the form for accuracy. Save your changes, and download, print, or share the completed HAWTHORNE LN form as needed.

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