Common use of DUPLICATE STATEMENTS Clause in Contracts

DUPLICATE STATEMENTS. (For Dealers, Financial Planners, Interested Parties) Name Company Street Address City, State, Zip Email Address Daytime Telephone Broker/Dealer Code Branch (if applicable) Please mark the appropriate box: □ Interested Party □ Broker/Dealer □ Financial Planner □ Trust Administrator

DUPLICATE STATEMENTS. (For Dealers, Financial Planners, Interested Parties) Name Company Street Address City, State, Zip Email Address Daytime Telephone Broker/Dealer Code Branch (if applicable) Please mark the appropriate box: :□ Interested Party □ Broker/Dealer □ Financial Planner □ Trust Administrator