Termination Of Registration As Paid Solicitor Agent
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Termination Of Registration As Paid Solicitor Agent Form. This is a Georgia form and can be use in Blue Sky Secretary Of State.
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Tags: Termination Of Registration As Paid Solicitor Agent, S2A, Georgia Secretary Of State, Blue Sky
Office of the Georgia Secretary of State Securities and Charities Division 2 Martin Luther King Jr. Drive SE Suite 313 W est Tower - Atlanta, GA 30334 (404) 654-6023 http://www.sos.ga.gov Brian P. Kemp Secretary of State Noula Zaharis Division Director FORM S-2A TERMINATION OF REGISTRATION AS A PAID SOLICITOR AGENT PART I - EMPLOYER Name of Paid Solicitor PS City Registration # Main Address (Number & Street) State Zip Person to contact for this application Title Phone Number Name (Last) PART II - APPLICANT (SOLICITOR AGENT) (First) (Middle or Maiden) Date Terminated Reason (Check One) Registration # Voluntary Person to contact for this application Title Deceased Discharged Phone Number PART III - Signature and Title of Official for Paid Solicitor Date Form S2A Revised Jan 2014 American LegalNet, Inc. www.FormsWorkFlow.com
