Plaintiff’s Certification of Investment Form

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Plaintiff Information

First Name:
Last Name:
Address:
City:
State:
Zip Code:
Telephone:
E-mail:

Shares Information

# Shares purchased Date purchased Price per
share
Class of stock
(e.g.Common)
If sold, # of shares sold Date sold
(if sold)
Per share
sold price
Upon submitting this form, a pdf file will be generated that you will need to print out, sign and fax to our offices. Thank you.

Awards & Recognition

The Securities and Investment Fraud Attorneys at Gilman Law LLP have been recognized by numerous leading legal publications:

Investment Losses Law Firm