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Get IL DSD CDTS 104 2010-2024

Ills Driving School Insurance Certificate (Please print or type.) This form must be completed and attached to Schedule II — Safety Inspection, Enhanced Skills Driving School Motor Vehicle Fleet and all supplements. Policyholder Policyholder’s Name Policyholder’s Street Address City State The Undersigned Insurance Carrier or Company certifies that: 1. 2. 3. 4. It is solvent. It is authorized to do business in the State of Illinois. The motor vehicles listed and described herein are cove.

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