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Financial Certification Form. This is a Wisconsin form and can be use in Blue Sky Secretary Of State.
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Tags: Financial Certification, IAFC, Wisconsin Secretary Of State, Blue Sky
§551.32(1)(b), Wis. Stats. and 5.01(2), Wis. Adm. Code
COURT
COUNTY . .
. . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . .STATE. OF WISCONSIN .
..... ..............
:
Index
DEPARTMENT OF FINANCIAL INSTITUTIONS No.
DIVISION OF SECURITIES
:
Plaintiff(s)
-against-
Calendar No.
:
345 West Washington Ave., 4 Fl.
JUDICIAL SUBPOENA
PO Box 1768
Madison, WI 53701-1768
(608) 266-3693
TTY: (608) 266-8818
Internet: www.wdfi.org
:
:
th
:
FINANCIAL CERTIFICATION
Defendant(s)
:
......................................................
Pursuant to s. DFI-Sec 5.02, Wis. Adm. Code, every investment adviser whose principal office is located in
Wisconsin and that collects advisory fees of $500 or more, six months or more in advance shall maintain a positive
THE PEOPLE OF THE STATE OF adviser will have
net worth at all times. If the investment NEW YORK custody of client funds or securities, a $35,000 net capital
must be maintained. This shall be in the form of cash, securities or other liquid assets. If the investment adviser is
TO
an individual, the capital used to meet the net capital requirement must be segregated from the individual’s personal
assets and used solely for the business for which the adviser is licensed.
GREETINGS:
FIRM’S NAME: _____________________________________________________________________________
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
_________________________________________________________________________
,
at the
Court
located at
County of
_________________________________________________________________________
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
FIRM’S ADDRESS:
the Honorable
I, the undersigned, do hereby certify that the above mentioned firm has and will continue to maintain at all times, the
net capital sufficient to meet the requirement in s. DFI-Sec 5.02, Wis. Adm. Code.
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penaltybelief and knowledge.
of $50 and all damages sustained as a
I further certify that the accompanying financial statements are true to the best of my
result of your failure to comply.
Witness, Honorable
, one of the Justices of the
___________________________________________________________________________________________
Court in
County,
day of
, 20
Typed Name and Title of an Officer of the Company
(Attorney must sign above and type name below)
_________________________________________________________
_______________________________
Signature
Date
Attorney(s) for
This document can be made available in alternate formats upon request to
qualifying individuals with disabilities.
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
DFI/DOS/IAFC(WI)(R09/00)
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