Form R-2 - Application For Registration, Renewal Or Amendment To An Application Of An Agent Page 3

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R-2
Page 3
12.
Has Applicant ever been known by another name?
If so, what name and when and by whom was
name changed_____________________________________________________________________________________
13.
The following exhibits are to be filed herewith.
I.
A bond in the amount of $2,000.00 as required by Section 6.7.2 (b) of the Regulation under the
Uniform Securities Act of Puerto Rico.

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