Fillable IL FORM BB03 Statement for Basis of Exemption (Illinois Secretary of State)

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IL FORM BB03 Statement for Basis of Exemption (Illinois Secretary of State)

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Illinois Secretary of State
Securities Department
421 E. Capitol Ave., 2nd Floor
Springfield, IL 62701
217-782-2256
IL FORM BB03
Statement for Basis of
Exemption from Waiting Period
and Disclosure Requirements
Attorney Review
Name of Client or Prospective Client:
I, hereby, represent that an attorney has reviewed the Business Broker’s contract and discussed it with me.
I, hereby, state that this representation is true and correct.
Printed by authority of the State of Illinois. November 2015 — 100 — SEC 317.1
Name of Client Signature
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IL FORM BB03 Statement for Basis of Exemption (Illinois Secretary of State)

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Completed 28 August 2020

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