Rev. Form BR (04/2014)
Special Instructions For Paper Filers (Jurisdictions Only)
Some jurisdictions may require a separate paper filing of Form BR. The applicant
should contact the appropriate jurisdiction(s) for specific filing requirements. Type
applicable information. Provide the name of the applicant and the date on each page.
Use only the current version of Form BR, or a reproduction of the form. For an
amendment to Form BR, circle the number of any item for which you are changing
your response on Form BR and complete Section 8 (Signature). On an initial Form BR
filing, attach Section 8 (Signature) with original manual signatures.
The sections of Form BR are as follows:
1. GENERAL INFORMATION
2. REGISTRATION/NOTICE FILING/TYPE OF OFFICE/ACTIVITIES
3. OTHER BUSINESS ACTIVITIES/NAMES/WEBSITES
4. BRANCH OFFICE ARRANGEMENTS
5. ASSOCIATED INDIVIDUALS
6. BRANCH OFFICE CLOSING
7. BRANCH OFFICE WITHDRAWAL (PENDING APPLICATION)
8. SIGNATURE
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