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Lasso Healthcare Insurance Company Lasso Plus Hospital Indemnity Policy Application State of Domicile: Texas1. Applicant information First names Middle initialBirth date (MM/DD/YYY)Social Security
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State of domicile Texas refers to the legal residence of an individual in the state of Texas.
Individuals who claim Texas as their legal residence are required to file state of domicile Texas.
State of domicile Texas can be filled out by providing personal information such as name, address, and proof of residency in Texas.
The purpose of state of domicile Texas is to establish legal residency in the state of Texas for tax and other purposes.
Information such as name, address, date of birth, and proof of residency in Texas must be reported on state of domicile Texas.
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