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YOUR NAME AND ADDRESS PRODUCER COMPENSATION DISCLOSURE As you requested, I am providing a further explanation of the compensation that to the best of my knowledge and belief, I will receive as a result
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My name is [Name] and my address is [Address].
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I am required to file my name and address.
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The purpose of my name and address is to provide contact information and personal identification.
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You must report your full name, mailing address, and any additional contact information requested.
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