Certification Of Balance Sheet By Principal Financial Officer Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
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Form 133.18 Texas State Securities Board P.O. Box 13167 Austin, Texas 78711-3167 Certification of Balance Sheet by Principal Financial Officer (§115.2(a)(4) or §116.2(a)(2)(B)) 1. Name of Applicant: 2. Application Type (Check all that apply): G Dealer 3. Form of Entity (Check only one): G Investment adviser G Sole Proprietor G Corporation (includes LLC) G Partnership (includes GP, LP, and LLP) I, the undersigned, am the principal financial officer of the Applicant. I do certify that the accompanying balance sheet has been prepared under my direction and control. I have carefully examined the balance sheet and, to the best of my knowledge and belief, declare that the balance sheet presents accurately the assets, liabilities, capital, and retained earnings of the Applicant and fairly reflects the financial position of the Applicant as of the dates indicated. Date: (Title) (Printed name) (Signature) Subscribed and sworn to before me, the _____ day of ___________________________, 20____. Notary Public in and for the County of State of (NOTARY SEAL) My commission expires 10-06-2015 American LegalNet, Inc. www.FormsWorkFlow.com