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Appointment And Application For Registration As Agent R8 - Puerto Rico
| Appointment And Application For Registration As Agent Form. This is a Puerto Rico form and can be used in Securities Blue Sky Commissioner Of Financial Institutions . |
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Form R-8 3/97 Government of Puerto Rico COMMISSIONER OF FINANCIAL INSTITUTIONS Centro Europa Building, Suite 600 1492 Ponce de Len Avenue San Juan, PR 00907-4127 APPOINTMENT AND APPLICATION FOR REGISTRATION AS AGENT Assistant Commissioner of Securities Office of the Commissioner of Financial Institutions San Juan, Puerto Rico The undersigned hereby certifies that it Issuer has employed Name Street/Address City State as its agent under the provisions of the Uniform Securities Act. Dated and signed this day of , . Year Name of Issuer By: Name and Title American LegalNet, Inc. www.USCourtForms.com
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