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Representative ID # Office ID # REPRESENTATIVE …

REPRESENTATIVE ID # _____ Office ID # _____ REPRESENTATIVE agreement F150 1 1 12 LPL FINANCIAL LLC Page 1 Member FINRA / SIPC This agreement is entered into between LPL Financial LLC ( LPL ) and _____ ( REPRESENTATIVE ). REPRESENTATIVE shall hereinafter be defined as an individual who has been accepted as a Registered REPRESENTATIVE and, upon election and licensing, as an Investment Advisor REPRESENTATIVE and Insurance REPRESENTATIVE for the limited purposes set forth below. This agreement is effective _____. 1. LPL S OBLIGATION. LPL: (A) Is not obligated to provide any services to REPRESENTATIVE (such as clerical assistance, Office expense, postage, telephone costs, or other expenses) unless LPL and the REPRESENTATIVE agree on such services and REPRESENTATIVE pays for such services.

Representative ID # _____ Office ID # _____ REPRESENTATIVE AGREEMENT F150 – 1112 LPL FINANCIAL LLC Page 1 Member FINRA / SIPC

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