N.H. Issuer-Dealer License
 Notice Filing Application Checklist

1. Issuer-Dealer

   Form D-4

   Fee - $50

2. Issuer-Dealer Agent

Form D-4

Fee - $25 (Non-refundable) Agent's Application

Fee - $50 Initial License

     3.   Form U-2

     4.   A statement of the firm’s date and month of fiscal year end.