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PUMPKIN PATCH INSURANCE Cossio Insurance Agency8646880121Fax: 8646032348P.O. Box 5987, Greenville, SC 29606DIRECTIONS: 1. Fill in the application by lling in the blue elds on all pages. 2. Please ll in allapplication the elds with correct information. enrollment form (all pages) inbyfull by filling the blue 1. Complete the (all the pages) in full filling in theinblue fields.fields. 3. Email thecompleted applicationquote to apps@cossioinsurance.com or Fax to 8646032348 3
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You are hereby notified is a formal statement indicating that an individual or party is being officially informed about a particular matter, often pertaining to legal or compliance issues.
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Information that must be reported includes the date, the parties involved, the specific issue or situation being addressed, any applicable legal references, and instructions or actions required by the notified party.
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