Complaint Information Sheet - Missouri Secretary Of State Page 3
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Please attach copies of the following documents:
Stock certificates/bonds/investment certificates
Confirmations of purchases
Cancelled checks (front and back)
Contracts
Any other documentation or advertising relating to the investment
Signature:
Printed name:
Date:
Please be advised that this division is prohibited by law from giving you legal advice,
legal opinions, or acting as your private attorney. Therefore, you may wish to consult
with a private attorney to discuss your legal rights and remedies.
If you have any question about this form, please call the investor hotline at: 1 (800) 721-7996.
Please mail all correspondence to:
Office of the Secretary of State
Securities Division
PO Box 1276, 600 W. Main St., Rm. 229
Jefferson City, MO 65102
To send your complaint via email: securities@sos mo gov
(If you file your complaint via the internet or via email, be sure and send the documents
requested above.)
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