Expires: February 29, 2008
Estimated average burden
SECURITIES AND EXCHANGE COMMISSION
hours per response .......15.0
Washington, D.C. 20549
APPLICATION FOR REGISTRATION AS A MUNICIPAL SECURITIES DEALER
PURSUANT TO RULE 15Ba2-1 UNDER THE SECURITIES EXCHANGE ACT OF 1934
OR AMENDMENT TO SUCH APPLICATION
A.	 Use of Form
This form is to be used by a bank or a separately identifiable department or division of a bank (as defined by the Municipal Securities
Rulemaking Board) to apply for registration as a municipal securities dealer with the Securities and Exchange Commission pursuant to
section 15B(a) of the Securities Exchange Act of 1934 (the “Act”), or to amend such application. If applicant is a department or division
of a bank, the application or amendment shall be deemed to have been made by the bank on behalf of the applicant.
B.	 Presentation of Information
All information required by Form MSD must be submitted in typewritten or printed manner on the prescribed form or mechanical
reproductions thereof. The execution page on each copy of the form must contain an original manual signature of the appropriate duly
authorized individual. Mechanical reproductions of signatures for this purpose are not acceptable. All other pages containing correct
information may be mechanically reproduced by any method producing clear, legible copies of identical type size. Retain one exact copy
for your records.
Additional copies of Form MSD are available from the Securities and Exchange Commission, Washington, D.C. 20549.
Form MSD shall be signed in the name of the applicant by a principal officer of the applicant or, if applicant is a department or
division of a bank, by a principal officer of the bank, in each case duly authorized to sign this Form, who is directly engaged in the
management, direction or supervision of the applicant’s municipal securities dealer activities.
D.	 Additional Space