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DBO LF 596 Summary of Personnel Form
Employees Name Date of Hire The above is certified to be true and correct as of the date shown. Company By Note This form should be completed and certified by an officer of the company and attached to the annual report to be filed with the Department of Business Oversight or returned to our examiner if requested during a regulatory examination. ATTACH ADDITIONAL SHEETS IF SPACE IS NOT SUFFICIENT LF 596 3-71 REV....
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