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Notice Filing For Third Party Brokerage Arrangements On Financial Entity Premises 133.9 - Texas
| Notice Filing For Third Party Brokerage Arrangements On Financial Entity Premises Form. This is a Texas form and can be used in State Securities Board Blue Sky Secretary Of State . |
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Form 133.9 Texas State Securities Board P.O. Box 13167 Austin, Texas 78711-3167 Notice Filing for Third Party Brokerage Arrangements on Financial Entity Premises (ยง139.20) 1. 2. Name of Financial Entity: Address of Financial Entity: 3. 4. Designated Officer/Contact: Name of Registered General Dealer Providing Services: 5. 6. Is the financial entity currently the subject of any litigation or arbitration relating in any way to the offer or sale of securities? G Yes G No Please Attach the Following Fees: G Financial Entity (Same as dealer registration fee) G Designated Officer (contact person) (Same as agent registration fee) By: (Full Name - Printed or Typed) (Signature) Date: 08-16-2010 American LegalNet, Inc. www.FormsWorkFlow.com
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