Sd Eform - 2160 V1 - Application For Registration - Appraisal Management Company Page 2
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4SECTION C: DESCRIPTION OF ENTITY
1. DOMICILED IN SOUTH DAKOTA
Yes
No
2. LEGAL STRUCTURE (choose one)
Domestic Corporation
Foreign Corporation
Partnership
Limited partnership
Domestic LLC
Foreign LLC
Sole Proprietor
Other (describe)
SECTION D: BUSINESS ENTITIES
If the applicant is other than a natural person, attach a certificate from the Secretary of State of South Dakota certifying
applicant's authority to conduct business within the State of South Dakota. Contact Jason M. Gant, South Dakota Secretary of
State, 500 East Capitol Avenue, Pierre, SD 57501, 605.773.3537.
SECTION E: IDENTIFICATION OF CONTROLLING PERSONS
List the names of all Controlling Persons of the AMC, including the Designated Officer and natural persons owning 10 percent or
more of the Entity.
1
6.
2
7.
3.
8.
4.
9.
5.
10.
A Controlling Person’s contact information must be included in Section F or attached for each individual listed.
SECTION F: NAME AND CONTACT INFORMATION OF EACH INDIVIDUAL AUTHORIZED TO CONTRACT WITH CLIENTS
OR INDEPENDENT APPRAISERS FOR PERFORMANCE OF APPRAISALS (Attach additional pages if needed.)
CONTACT NAME
CONTACT INFORMATION
SECTION G: UNIFORM IRREVOCABLE CONSENT TO SERVICE OF PROCESS
I hereby acknowledge and agree that I am the Designated Officer of the applicant Entity identified in Section A of this
application, and individually and on behalf of the applicant Entity, I do hereby:
1. Stipulate and agree that any suits and/or legal actions that may be commenced against the Entity set forth in Section A of
this application, the Designated Officer identified in Section B of this application, or any Controlling Person(s) identified in
Section E of this application, or any subsequent changes of information on file, may be brought in any court of competent
jurisdiction of any county in South Dakota in which a cause of action may arise due to the actions or omissions of the Entity, the
Designated Officer, or any controlling person(s); or in the county in which the plaintiff resides.
(Section G continued on next page)
Page 2 of 4
AMC APPLICATION (08/11)
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