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Get LIC 417-31 - California Department Of Insurance - State Of California - Insurance Ca

: Notice is h ereby given that effective from the *date of filing this notice, the designated Broker-Agent or Business Entity hereby: Appoints and agrees to employ the person(s) named herein to act as my solicitor(s) within the State of California. Or Terminates the appointment(s) of the solicitor(s) named herein. If you are appointing an applicant for an insurance license, submit one name per form and attach the form to the application. *Effective date of Solicitor license number Solicitor Nam.

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