Virginia Administrative Code (Last Updated: January 10, 2017) |
Title 21. Securities and Retail Franchising |
Agency 5. State Corporation Commission, Division of Securities and Retail Franchising |
Chapter 10. General Administration - Securities Act |
Appendix 9998. FORMS (21VAC5-10)
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Broker-Dealer and Agent Forms
Form BD - Uniform Application for Broker-Dealer Registration (rev. 1/08).
Form S.A.11 - Broker-Dealer's Surety Bond (rev. 7/99).
Form S.A.2 - Application for Renewal of a Broker-Dealer's Registration (rev. 7/99).
Form S.D.4 - Application for Renewal of Registration as an Agent of an Issuer (1997).
Form S.D.4.A - Non-NASD Broker-Dealer or Issuer Agents to be Renewed Exhibit (1974).
Form S.D.4.B - Non-NASD Broker-Dealer or Issuer Agents to be Canceled with no disciplinary history (1974).
Form S.D.4.C - Non-NASD Broker-Dealer or Issuer Agents to be Canceled with disciplinary history (1974).
Rev. Form U4 - Uniform Application for Securities Industry Registration or Transfer (rev. 5/09).
Rev. Form U5 - Uniform Termination Notice for Securities Industry Registration (rev. 5/09).
Investment Advisor and Investment Advisor Representative Forms
Form ADV, Uniform Application for Registration of Investment Advisors (rev. 10/12).
Form ADV-W - Notice of Withdrawal from Registration as an Investment Advisor (rev. 11/10).
Surety Bond Form (rev. 7/99).
Form S.A.3 - Affidavit for Waiver of Examination (rev. 7/99).
Form S.A.15 - Investment Advisor Representative Multiple Employment Agreement (eff. 7/07).
Form S.A.16 - Agent Multiple Employment Agreement (eff. 7/07).
Securities Registration and Notice Filing Forms
Form U-1 - Uniform Application to Register Securities (7/81).
Form U-2 - Uniform Consent to Service of Process (7/81).
Form U-2-a - Uniform Form of Corporate Resolution (rev. 7/99).
Form S.A.4 - Registration by Notification - Original Issue (rev. 11/96).
Form S.A.5 - Registration by Notification - Non-Issuer Distribution (rev. 11/96).
Form S.A.6 - Registration by Notification - Pursuant to 21VAC5-30-50 Non-Issuer Distribution "Secondary Trading" (1989).
Form S.A.8 - Registration by Qualification (7/91).
Form S.A.12 - Escrow Agreement (1971).
Form S.A.13 - Impounding Agreement (rev. 7/99).
Form VA - Parts 1 and 2 - Notice of Limited Offering of Securities (rev. 11/96).
Form NF - Uniform Investment Company Notice Filing (4/97).