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Licensing iid.iowa.gov or fax 515-281-3059 Attn Producer Licensing DRLP Signature Date Signature of the Designated Responsible Licensed Producer DRLP is required Revised 07/07/2017. Iowa Insurance Division Attn Producer Licensing Two Ruan Center 601 Locust Street 4th Floor Des Moines IA 50309 Business Entity Voluntary Surrender Request Form National Producer Number License Number FEIN - Business Contact Email I the Designated Responsible Licensed Producer DRLP wish to voluntarily surrender...
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The two ruan center is a form used to report financial information for tax purposes.
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