IM-11710. Uniform Reclamation Form
This rule is no longer applicable. NASD Rule 11000 Series has been superseded by FINRA Rule 11000 Series. Please consult the appropriate FINRA Rule.
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RECLAIMED TO |
Rec No. | Name of Receiver |
Date Securities Below Received |
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RECLAIMED BY |
Del. No. | Name of Deliverer | Date of Return | ||||||||||||||
Quantity |
Security Description (certifcate's can be applied to reverse side of copy #1 | Amount | |||||||||||||||
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_______________ Name of Person making Reclamation (Print ) |
_______________ Telephone Number |
_______________ Extension |
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ATTACH COPIES 1 & 2 TO CERTIFICATE - COPIES 3 & 4 ARE RETAINED BY DELIVERER |
FORM AS SHOWN IS NOT DRAWN TO SCALE