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Adviser Affidavit AA - District Of Columbia
| Adviser Affidavit Form. This is a District Of Columbia form and can be used in General Blue Sky Secretary Of State . |
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Government of the District of Columbia Department of Insurance, Securities and Banking Lawrence H. Mirel Commissioner District Of Columbia Adviser Affidavit Please be advised that I, (Principal/Officers name) of the Investment Adviser (Adviser/Firms name) Certify that: - The applicant has not transacted any business in the District o f Columbia, and will not provide investment advice until registered with the Securities Bureau of the Dis trict of Columbia. - If a firm has transacted any advisory business in the District of Columbia, provide the following information: a. name, address and telephone number of each client; b. date of each agreement with clients involved; c. a description of service provided to each client along with the tota l amount of assets managed or involved and the total amount of fees received. Signature: State of County of Subscribed and sworn before me this day of 200 . Notary Public My Commission Expires 810 First Street, NE, Suite 622Washington, DC20002Tel: (202 ) 442-4934Fax: (202) 442-8661 maurice.goff@dc.gov American LegalNet, Inc. www.USCourtForms.com
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