Appointment And Application For Registration As Agent
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Appointment And Application For Registration As Agent Form. This is a Puerto Rico form and can be use in Blue Sky Commissioner Of Financial Institutions.
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Tags: Appointment And Application For Registration As Agent, R8, Puerto Rico Commissioner Of Financial Institutions, Blue Sky
Form R-8
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
APPOINTMENT AND APPLICATION FOR REGISTRATION AS AGENT
Securities Division
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
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