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Verification Form Pursuant To California Code Of Regulations Rule 260.241.2(b) 260.241.2(b) - California
| Verification Form Pursuant To California Code Of Regulations Rule 260.241.2(b) Form. This is a California form and can be used in Securities Regulation Division Blue Sky Secretary Of State . |
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TO THE COMMISSIONER OF CORPORATIONS OF THE STATE OF CALIFORNIA VERIFICATION FORM PURSUANT TO CALIFORNIA CODE OF REGULATIONS RULE 260.241.2(b) (Executed WITHIN or WITHOUT of the State of California) I, , declare under penalty of perjury under the laws of the State of California that I have read the annexed financial report and supporting schedules and know the contents thereof to be true and correct to my best knowledge and belief; and neither the licensee nor any partner, officer, or director thereof have any proprietary interest in any account classified solely as that of a customer. Executed this City day of at State (Signature of person signing report) (Title of person signing report) (Name of Licensee) INSTRUCTIONS: If the broker-dealer or investment adviser is a sole proprietorship, the verification shall be made by the proprietor; if a partnership, by a general partner; or if a corporation, by a duly authorized officer. (File Number) 260.241.2(b) (New 02/03) American LegalNet, Inc. www.USCourtForms.com
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