IM-11710. Uniform Reclamation Form

This rule is no longer applicable. NASD Rule 11000 Series has been superseded by FINRA Rule 11000 Series. Please consult the appropriate FINRA Rule.

Uniform Reclamation Form To Accompany Reclamations Subject to Rules & Regulations of: Stock Clearing Corp. Annex Clearing Corp. National Clearing Corp. NASD - uniform Practice code
RECLAIMED TO	Rec No.	Name of Receiver	Date Securities Below Received
RECLAIMED BY	Del. No.	Name of Deliverer	Date of Return
Quantity		Security Description (certifcate's can be applied to reverse side of copy #1	Amount
Wrong Security __________ Should Be Wrong Money __________ Our Money Carries Due Bill Duplicates Delivery __________ You Delivered On Needs Signature Guarantee Wrong Settlement Date __________ Our S/D Needs Tax Stamp No Instructions Release Power of Attorney Needs Legal Opinion Coupon Missing Needs Better Account Date Other - Explanation
_______________ Name of Person making Reclamation (Print )		_______________ Telephone Number	_______________ Extension
ATTACH COPIES 1 & 2 TO CERTIFICATE - COPIES 3 & 4 ARE RETAINED BY DELIVERER

FORM AS SHOWN IS NOT DRAWN TO SCALE