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BPL/LMS-020 07/15 Page 1 FOR OFFICE USE ONLY Approved By Michigan Department of Licensing and Regulatory Affairs Bureau of Professional Licensing Licensing Division P. Signature Date Page 3 Assignor Assignee ASSIGNOR/ASSIGNEE NOTIFICATION PREPAID CONTRACT SELLER/PROVIDER ASSIGNMENT NOTIFICATION FORM Complete and submit if applying for a new funeral establishment license where prepaid contracts are being assumed Both assignee and assignor notification forms must be submitted with original...
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