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Certain instructions are specific to certain license types. 2. Print the Name/Address Change Form. 3. Complete the form, and send it to the Department with all required supporting documentation. New Jersey Department of Banking & Insurance Licensing Services, Banking PO Box 473 Trenton, NJ 08625 E-mail: bliconline dobi.state.nj.us Phone: 609-292-7272 (follow menu prompts & select #3, then #2, then #1 for Licensing staff) Fax: 609-633-0822 Change of Legal Name Individual Name Change: Attac.

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