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...For official use only illinois department of financial and professional regulation division real estate west washington street springfield important notice completion this form is necessary to accomplish the requirements outlined in timeshare act disclosure information required failure provide any will result exchange company registration a delay processing submission false may subject affiant prosecution under applicable perjury statutes has been approved by application agency coordinator instructions following fees should be made payable idfpr are non refundable original fee must accompany b annual renewal due on or before august each year if managing employee person with whom contact not resident state consent service process filled out filed office name applicant f e i n social security number address principal telephone city zip code responsible email properties which offering services attach additional sheet property il rev june county hereby certify that personally completed ans...