Follow the steps to successfully complete the Dsrq.

1. Press the ‘Get Form’ button to access the form and open it in the editor.
2. Begin by entering the issuer or company name along with its ticker symbol. This information is crucial for identifying the securities you are depositing.
3. Next, specify the number of shares being deposited in the designated field. This should reflect the exact amount of shares you intend to submit.
4. Indicate the transfer type by selecting one of the following options: physical certificate deposit, DWAC/DRS transfer from issuer, ACAT, or DTC/free receive. Choose the one that applies to your situation.
5. Provide your shareholder information, including the introducing broker name, your name, and account number. This section verifies your identity as the shareholder.
6. Answer the question regarding whether the shares were purchased in the market on OTCBB or Pink Sheets. If 'yes', attach proof of purchase and sign on page 4.
7. Proceed to the security description section, where you will need to provide the issuer's address and phone number, along with the certificate number and CUSIP.
8. Complete the shareholder questionnaire with the required information that aligns with the questions asked, detailing the purpose of the deposit, control of shares, and any relevant affiliations.
9. In the prior owner information section, enter the date the security was acquired, the name of the prior owner, and describe how the shares were obtained, attaching supporting documentation as necessary.
10. Address any restrictions on the securities by answering questions about resale limits, the nature of the restrictions, and any applicable exemptions.
11. Review the terms and conditions and ensure that all responses are accurate and complete. Your signature is required at the end of the document to affirm the information provided.
12. Once all sections are filled out, save changes, and choose to download, print, or share the form as needed.

Complete your Dsrq online to manage your securities efficiently.