Form B-3 Notification Of Resignation/termination Of Actuary/ Auditor/ Other Independent Officer printable pdf download

Form B-3 Notification Of Resignation/termination Of Actuary/ Auditor/ Other Independent Officer

FORM B-3

[Paragraph 22(b)]

NOTIFICATION OF RESIGNATION/TERMINATION

OF ACTUARY/ AUDITOR/ OTHER INDEPENDENT OFFICER

I/We, _________________________________ being the duly appointed actuary/auditor/other independent

officer*

(please

specify)__________________________________

for

________________________________________ (regulated person) do hereby notify the Commission that I/we

have ceased to act as actuary/auditor/independent officer* __________________________________ for the

said ___________________________________ with effect from _____________________________ due to

resignation/termination* of my/our services, and declare that the reasons and/or circumstances set out below are

a true reflection of the events which gave rise to such resignation/termination*.

* Please delete as appropriate

Verification

Signed by:

______________________________________

Name (Print):

______________________________________

On Behalf Of:

______________________________________

Date:

______________________________________

NOTE: A copy of your resignation or termination letter should be submitted with this form

Form B-3 Notification Of Resignation/termination Of Actuary/ Auditor/ Other Independent Officer