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IS 0569 (05/11) Office of Financial and Insurance Regulation Investment Adviser Supplemental Application Form 1. Applicant Information: Date: Applicants Name Applicants IARD Number Address (number,

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What is this form is to?

This form is used to report financial information to the government.

Who is required to file this form?

Certain businesses and individuals may be required to file this form.

How to fill out this form is to?

The form must be completed with accurate financial information.

What is the purpose of this form is to?

The purpose of this form is to ensure compliance with financial regulations.

What information must be reported on this form is to?

Financial information such as income, expenses, and assets must be reported on this form.