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TDI Form NumberDescriptionFile FormatLanguageFIN390CCRC 7 ‑ Change of Control StatementPDFEnglishFIN396CCRC 13 ‑ Notice of LienPDFEnglishFIN397CCRC 14 ‑ Calculations Concerning ConditionsPDFEnglish Certification of Changes to Disclosure Statement.(8) Previous licenses. Community registration statement and disclosure statement. All CCRCs are required to file a disclosure statement that includes a copy of their contract and advertising materials with Elder Affairs. Accompanying certified public accountant's opinion thereon. Revocation of certificate of authority. Annual certification. 523D.3. Disclosure statement. 523D.4. (8) Previous licenses.