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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.


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1535-0067 199407-1535-010
Historical Active 199108-1535-006
TREAS/BPD
CERTIFICATE OF OWNER OF UNITED STATES REGISTERED SECURITIES CONCERNING FORGED REQUESTS FOR PAYMENT OR ASSIGNMENTS
Extension without change of a currently approved collection   No
Regular
Approved without change 10/05/1994
07/26/1994
You may omit printing the expiration date on this form.
  Inventory as of this Action Requested Previously Approved
10/31/1997 10/31/1997 10/31/1994
3,000 0 3,000
750 0 750
0 0 0