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Get Trainee Renewal Form (2012) - State Of Indiana

Ase return this entire page to the address above after answering all questions on the form. Be sure to enclose the renewal fee of $110.00. Checks should be payable to: Indiana Professional Licensing Agency . Please include $50.00 late fee if postmarked after 6/30/2012. Licensed Trainee Appraiser Renewal Form DATE DUE RENEWAL FEE 06/30/2012 LICENSE NUMBER CURRENT STATUS TR HOME ADDRESS CORRECTION: I wish to have my license status remain the same as indicated on this application. I wis.

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