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Please note the application may be revised on a biannual basis. To ensure you are filing the current version of the application, please reference the National Insurance Producer Registry website at

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Home state amp home refers to the state in which an individual resides and considers their primary residence.

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Individuals who live in a state and consider that state their primary residence are required to file home state amp home.

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You can fill out home state amp home by providing information about your primary residence and any relevant details about your state of residence.

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The purpose of home state amp home is to establish where an individual resides and considers their primary residence for tax or legal purposes.

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On home state amp home, you must report details about your primary residence, such as address and length of residency.

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