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CONVENIENCE STORE GENERAL LIABILITY SUPPLEMENTAL APPLICATION ACCIDENT/MADISON INSURANCE COMPANYAPPLICANT INFORMATION SECTION 1. Applicants Legal Name: ___ ___ 2. Applicant is a: Corporation LLC Partnership
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The form applicant declares that is a document where an individual or organization formally states specific information or claims related to their application.
Those who are applying for permits, licenses, or benefits that require a declaration of certain facts or qualifications are typically required to file this form.
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The purpose of the form is to gather essential information from the applicant to verify eligibility and ensure compliance with legal or regulatory requirements.
Typically, the form requires personal identification information, details relevant to the application, and any disclosures necessary to establish qualifications or eligibility.
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