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Get change of address notification

Change AFTER you submit your application. Date Form Completed: Effective Date: Full Name: Mr./Ms. LAST Name FIRST Name MIDDLE Name NEW! Address: Street Address: City State Zip State Zip Previous Address: Street Address: City Day Telephone: ( ) Signature (required if submitting by mail): Date: SIGNATURE REQUIRED! mm/dd/yyyy SUBMIT this FORM via your PORTAL or Mail To: Minnesota Board of Law Examiners 180 East 5th Street, Suite 950 St. Paul, MN 55101 APPLICATION --- Change Of.

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