Form Msdw - Notice Of Withdrawal From Registration As A Municipal Securities Dealer (Page 2 of 3) in pdf

Form Msdw - Notice Of Withdrawal From Registration As A Municipal Securities Dealer Page 2

8. Are there any unsatisfied judgments or liens against registrant?

Yes

If so, furnish complete information regarding each judgment and lien.

9. Furnish below the name and address of the person who has or will have custody or possession of registrant’s books and

records with respect to registrant’s activities as a municipal securities dealer:

Name

No. and Street

City

State

Zip Code

10. Furnish below the address of the place where such books and records will be located:

No. and Street

City

State

Zip Code

11. EXECUTION. The registrant submitting this Form and its attachments and the person executing it to the best of the undersigned’s knowledge

and belief and on the basis of diligent inquiry, represent hereby that it, and all materials filed in connection with it, contain a true, correct and

complete statement of all required information.

Registrant also consents hereby to make the books and records he is required to preserve by rule or regulation of the Securities and Exchange

Commission or the Municipal Securities Rulemaking Board available for examination by authorized representatives of the Securities and

Exchange Commission during the period such rules require that such books and records be preserved; and hereby authorizes the person having

custody of such books and records to make them available.

Dated the

day of

ATTENTION

Intentional misstatements or

(Name of Registrant)

omissions of facts constitute

federal criminal violations.

(Manual signature of duly authorized officer)

(See 18 U.S.C. 1001 and

15 U.S.C. 78ff(a).)

(Title)

Form Msdw - Notice Of Withdrawal From Registration As A Municipal Securities Dealer Page 2