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Get IL Per D 199.4 2015

________________________________________ • • • Social Security Number: - - If you answered “YES” to question #1 and/or #2 on the front page of the Secretary of State Employment Application, you may use this form to provide your explanation(s). If you are obligated to answer “YES” to one or both of these questions, your explanation(s) must be provided with every application submitted to this office. Your application(s) cannot be processed until all the information requested belo.

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