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AGENT AND AGENCY CHANGE REQUEST FORM Date of Change: Person Requesting Change: AGENCY ENTITY CHANGE Current Name: Agency No.: New Name: Agency No.: Reason for Change (purchase, merger, ownership change,
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Begin by carefully reading the question or statement that requires a response. Make sure you understand the requirements and what is being asked.
02
If the answer is "no," proceed to the next step. If the answer is "yes," complete the necessary actions or steps mentioned.
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No if yes complete refers to the answer required if the previous question was answered affirmatively.
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