Statement Of Financial Condition Form - Pursuant To Rule 200.5a-2 Under The District Of Columbia Securities Act
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1Statement of Financial Condition
Pursuant to Rule 200.5a-2 Under the District of Columbia Securities Act
For
The attached statement reflects the financial condition of the above named registrant as of
__________, (which is within 30 days of the date of filing) and is true and correct to the best of my
knowledge and belief.
__________________________________
SIGNATURE OF APPLICANT
__________________________________
TITLE
To Wit:
County of__________________)
State of ___________________)
SUBSCRIBED AND SWORN/AFFIRMED TO before me, a notary public in and for the above
mentioned state, this_______ day of_____________, 200__.
Notary Public______________________________________
My commission expires_____________________________
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