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Get Assurity 04-052-05055 2011

S differs in each state. All states, however, are uniform in requiring that an agent be properly licensed before soliciting insurance sales. Assurity supports this position and requests your complete compliance with the licensing laws of your state(s). Please review the Appointment Guidelines for Business Received (Form 04-015-05055) for more information. You must return the following items completed in full to the contracting department at Assurity. Information should be typed or printed legibl.

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