Title 18
SECTION 131.43
131.43 Report of securities issued.
§ 131.43 Report of securities issued.(See § 34.10 of this chapter.)
(Submit an original and four copies.)
[Name of respondent]Report of Securities Issued
Description of security....................................
| Description | Amount |
|---|---|
| 1. Face value or principal amount | |
| 2. Plus premium or less discount | |
| 3. Gross proceeds | |
| 4. Underwriter's spread or commission | |
| 5. Securities and Exchange Commission registration fee | |
| 6. State mortgage registration tax | |
| 7. State commission fee | |
| 8. Fee for recording indenture | |
| 9. United States document tax | |
| 10. Printing and engraving expenses | |
| 11. Trustee's charges | |
| 12. Counsel fees | |
| 13. Accountant's fees | |
| 14. Cost of listing | |
| 15. Miscellaneous expenses of issue | |
| (Describe large items) | |
| 16. Total deductions | |
| 17. Net amount realized |
(See § 34.10 of this chapter)
(Submit in electronic format in accordance with § 385.2003 of this chapter.)