Form Sec 122 - Form Bdw - Uniform Request For Broker-Dealer Withdrawal

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OMB APPROVAL
OMB Number:
3235-0018
Expires:
October 31, 2017
Estimated average burden
hours per response. . . . . . . . . . . . . 0.25
Form BDW
Uniform Request
for
Broker-Dealer Withdrawal
Persons who to respond to the collection of information contained
in this form are not required to respond unless the form displays
SEC 122(04-07)
a currently valid OMB control number.

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