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IN 0082 Rev. 12/10 RDA 2225 STATE FIRE MARSHAL S OFFICE Permits and Licenses Unit 500 James Robertson Parkway Nashville TN 37243 LP Gas Dealer Change of Designated Responsible Managing Employee R.M. IN-1806 Rev. 07/14 V. 03/16 RDA Page 2 of 3 Part A. Eligibility Verification for Entitlements Act Attestation I hereby attest under penalty of perjury that I am select one A United States citizen A qualified alien as defined in Tenn. Code Ann. 4-58-102 1 Driver s license and Social Security card...
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