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Get Puerto Rico Application For Authority Renewal Form 2009-2024

File. Postal address Home office address Phone number (Signature of President or Vice President) (Name) (Title) NOTE: Please send this form in duplicate, including a check or money order for the corresponding amount, payable to the Secretary of the Treasury. PR-CA-ENG Rev.10.27.09 B5 Tabonuco Street, Suite 216 PMB 356 Guaynabo, PR 00968-3029 Ph.: (787) 304-8686 Fax: (787) 273-6082 www.ocs.gobierno.pr Page 2 COMMONWEALTH OF PUERTO RICO OFFICE OF THE COMMISSIONER OF IN.

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