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Get Tx Fin517 2017

Ive duty, expected duration of assignment, and any other information licensee thinks will assist the department. 6. Signature of Licensee Texas Department of Insurance www.tdi.texas.gov Date 1/2 FIN517 0217 INSTRUCTIONS Print or type information requested in items 1, 2, 3, 4. Make sure licensee s name is given exactly as it is on the license. This form may be used to apply for a grandfather exemption, or for an extensi.

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