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FORM A STATEMENT REGARDING THE ACQUISITION OF CONTROL OF OR MERGER WITH A DOMESTIC INSURERName of Domestic Insurer Became of Acquiring Person (Applicant) Filed with the Insurance Department of (State
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Form a - statement is a report required to be filed by certain individuals or entities to disclose financial information.
Individuals or entities with financial interests or holdings in certain assets are required to file form a - statement.
Form a - statement can be filled out electronically or manually by providing all the required financial information.
The purpose of form a - statement is to provide transparency and accountability by disclosing financial interests and holdings.
Form a - statement must include details of financial assets, income sources, liabilities, and any other relevant financial information.
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