Notice Of Engagement Or Termination Of Services Of An Agent
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Notice Of Engagement Or Termination Of Services Of An Agent Form. This is a Puerto Rico form and can be use in Blue Sky Commissioner Of Financial Institutions.
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Tags: Notice Of Engagement Or Termination Of Services Of An Agent, R9, Puerto Rico Commissioner Of Financial Institutions, Blue Sky
FORM R-9
11/06
Commonwealth of Puerto Rico
Commissioner of Financial Institutions
Centro Europa Building, Suite 600
1492 Ponce de León Avenue
San Juan, PR 00907-4127
Tel. (787) 723-8403 Fax. (787) 724-2604
NOTICE OF ENGAGEMENT OR TERMINATION OF SERVICES OF AN AGENT
Notice is hereby given to the Commissioner of Financial Institutions, pursuant to Section 201 (b) of
the Puerto Rico Uniform Securities Act.
I,
have been engaged or terminated (strike inapplicable
word) as agent of ______________________________________________________________
Name of Issuer
Signature of Agent
By
____________________________
Name and Title
Dated and signed this
Address of Agent
day of
, ____________
Year
INSTRUCTION: In the event of a termination of services the agent may attach a separate letter to the Commissioner
explaining the reason for the termination of services, if he so desires. Such letters will be kept confidential by the
Commissioner.
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