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Step 1: First of all, open the editor by pressing the "Get Form Button" above on this site.
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This PDF requires particular data to be typed in, so make sure you take your time to fill in precisely what is requested:
1. It is crucial to fill out the 45016 properly, hence take care while working with the segments that contain all of these blanks:
2. The third step is to complete the next few blank fields: Pursuant to IC and IC I swear, I am a United States Citizen I, I am a qualified alien as defined, Are you the spouse of a member of, Yes No, Are you an active duty member of, Yes No, Certified Residential You must, EDUCATIONAL REQUIREMENTS Per IC , Certified General You must have , and Page of .
3. This subsequent part is quite uncomplicated, COURSE TITLE, SPONSOR, NUMBER OF HOURS MONTH YEAR, TOTAL HOURS Certified Residential, Certified General must have hours, PROFESSIONAL LICENSES HELD IN, Do you currently hold or have you, Yes No, TYPE OF LICENSE CERTIFICATE, STATE, LICENSE NUMBER, DATE ISSUED month day year, and STATUS - all these blanks is required to be completed here.
4. Now start working on this fourth segment! Here you will get all these Except for minor violations of, have you ever been arrested have, misdemeanor or felony in any state, have you ever been convicted of, Have you ever been denied a, profession in this or any other, Has any complaint been filed, you currently hold or have, Has disciplinary action ever been, that you currently hold or have, Yes Yes Yes Yes Yes, Yes, No No, No No No, and Yes blank fields to fill out.
Be very mindful when completing misdemeanor or felony in any state and that you currently hold or have, since this is where many people make some mistakes.
5. Finally, this last part is what you'll have to complete before closing the form. The blank fields in this case include the following: Signature of applicant, and Date signed month day year.
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