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This form is effective beginning with the January 1 to June 30, 2017 accounting period (2017/1) If you are filing for a prior accounting period, contact the Licensing Division for the correct form.STATEMENT

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What is log in block 2?

Log in block 2 is a section in a specific regulatory or reporting form that requires detailed information about the entity or individual filing.

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Information typically required includes the filer’s name, address, identification numbers, and any other relevant details as specified in the filing instructions.

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