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STATE OF MINNESOTA DEPARTMENT OF COMMERCE THIS FORM IS NOT TO BE USED BY POLITICAL SUBDIVISIONS REQUEST FOR EXEMPTION FROM INSURING LIABILITIES UNDER THE MINNESOTA NO-FAULT AUTOMOBILE INSURANCE ACT
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Political subdivisions, such as local governments, municipalities, townships, or school districts, may need to fill out a form stating that they are being used by higher political entities, such as state or federal governments.
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Organizations or entities that collaborate or partner with political subdivisions for various projects or initiatives may also need them to complete this form to ensure proper documentation and legal recognition of their relationship.
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1974 1984 MINNESOTA insurer obligor 10-K 72A CPA severally deposes 65B domiciled Affiant hereunder successors SUBDIVISIONS Issuance hereinafter subscribing subsidiaries materially undersigned foregoing hereto reparation situs appoints surety INSURING refu

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