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- Indicate the state of incorporation and type of entity (e.g., Corporation, Partnership) in the appropriate sections.
- In the section for securities sold, list each type of security sold within 60 days, including date of sale, number of units sold, price per unit, and number of purchasers.
- Confirm your claim of exemption under Section 4(2) of the Securities Act by checking the relevant box.
- Complete any additional information regarding commissions or remuneration paid for sales in Ohio as required.
- Review all entered information for accuracy before signing and dating the form at the bottom.
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