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YOU CURRENTLY LICENSED BY THE MOTOR VEHICLE DEALER BOARD? 1. FIRST M. LAST HOME ADDRESS STATE CITY SEX WEIGHT HEIGHT EYE HAIR DATE OF BIRTH ZIP CODE SOCIAL SECURITY NO. 2. NAME OF EMPLOYER IF YES, PLEASE INDICATE DEALER NUMBER YES STREET ADDRESS B. HAVE YOU EVER BEEN CONVICTED OF A FELONY? C. HAVE YOU EVER BEEN CONVICTED OF ANY FRAUDULENT OR CRIMINAL ACT INVOLVING THE BUSINESS OF SELLING MOTOR VEHICLES? DEALER CERT. NO. STATE ZIP CODE E. IF THE ANSWER TO.

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