APPLICATION FOR SALES REPRESENTATIVE LICENSE
(1.) I have been convicted of an offense set forth under N.C.G.S. 20-106, 20-106.1, 20-107 or 20-112 within 5 years next preceding the date of filing the application. Yes or No (circle one) *Initial: _____ (2.) I have been convicted of a crime: (a) possibly related to the duties and responsibilities for holding a sales
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