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Attestation of Ownership Form - Myrexis Inc 2026
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- Click ‘Get Form’ to open the Attestation of Ownership Form in our platform's editor.
- Begin by entering your name in the designated field, certifying your ownership of Myrexis, Inc. shares.
- Fill in the number of shares you owned as of each specified date: December 31, March 31, June 30, and September. Ensure accuracy for compliance.
- Provide details about the registered or beneficial owner in the next section, including any corporate or institutional relationships if applicable.
- If your shares are held in street name, indicate the brokerage institution where they are kept.
- Complete your full address and contact information, including phone number and email address for report delivery.
- Finally, sign and date the form to attest to the accuracy of your responses before submitting it via fax as instructed.
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