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Registration By Qualification 10-2-1A - Utah

Registration By Qualification Form. This is a Utah form and can be used in Securities Blue Sky Department Of Commerce .
 Fillable pdf Last Modified 10/6/2005
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(Rev.2/9/90) STATE OF UTAH DEPARTMENT OF COMMERCE DIVISION OF SECURITIES FORM 10-2-1A Closing Report: Registration by Qualification Date Name of Issuer File No. Address Street Number City & State Zip Code 1. Total of issue offered in all states: Total number of securities: Total dollar amount of securities: 2. Total sales made in all states: Total number of securities: Total dollar amount of securities: 3. Total sales made in Utah: Total number of securities: Total dollar amount of securities: 4. Gross amount of proceeds received from all sales: 5. Amount of commissions paid: 6. Amount of other offering expenses: 7. Net Proceeds: By American LegalNet, Inc. www.USCourtForms.com
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