Form Br - Uniform Branch Office Registration Form Instructions Page 4

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Rev. Form BR (04/2014)
City
Enter the name of the city where this branch office is physically located.
State
Enter the state where this branch office is physically located.
Note: If the applicant files a Form BR amendment to relocate this branch office to
another state, the amendment filing represents the applicant's acknowledgement
that it is closing this branch office in the current state. In addition, if the applicant is
relocating this branch office to a state that requires branch office registration or
notice filing, the amendment filing represents the applicant's acknowledgement that
it is requesting branch office registration or notice filing in that state.
Country
Enter the name of the country where this branch office is physically located.
Postal Code
Enter the postal code where this branch office is physically located.
Private Residence Check Box
Check this box if this branch office is also a private residence. Checking this box may
not necessarily prevent the Branch Address from disclosure to the public.
Branch Telephone Number
Enter the telephone number of this branch office.
Branch Facsimile Number
Enter the facsimile number of this branch office.
2. REGISTRATION/NOTICE FILING/TYPE OF OFFICE/ACTIVITIES
Register/Notice File Branch Office with SRO/Jurisdiction
The CRD system will populate the applicable SRO and/or jurisdiction with which you
may be required to register or notice file this branch office based on the applicant’s
current registrations and where this branch is physically located. If applicant is not
required to register or notice file this branch office with an SRO and/or jurisdiction
that has been populated, you may remove that registration/notice request. Note: If
applicant files a Form BR amendment to relocate this branch office to another state,
the amendment filing represents applicant's acknowledgement that it is closing the
branch office in the current state. In addition, if applicant is relocating this branch
office to a state that requires branch office registration or notice filing, the
amendment filing represents applicant's acknowledgement that it is requesting
branch office registration or notice filing in that state.
Type of Branch Office Registration/Notice Filing
Registering/Notice Filing: To register or notice file this branch office with a
jurisdiction, select the type of registration/notification you are seeking: Broker-
Dealer and/or Investment Adviser.
Terminating registration/notice when applicant is dually registered: To terminate the
branch registration or notice of this branch office when the applicant is registered as
both a Broker-Dealer and Investment Adviser, uncheck the applicable box (i.e.,
Broker-Dealer or Investment Adviser) and file an amended Form BR. To terminate
both Broker-Dealer and Investment Adviser registrations/notices for this branch
office, you must file a branch "closing" under Section 6.
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