Irrevocable Consent For Service Charitable Organization Form - Attorney General, State Of Arkansas

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MIKE BEEBE
ATTORNEY GENERAL
OFFICE OF THE ATTORNEY GENERAL
323 CENTER STREET, Suite 200
LITTLE ROCK, AR 72201-2610
(501) 682-6150
IRREVOCABLE CONSENT FOR SERVICE
CHARITABLE ORGANIZATION
_________________________________________________, a Charitable Organization, hereby appoint(s) the Attorney
General of the State of Arkansas as agent for service in case of any and all lawsuits, proceedings and actions growing out of the
violation of any of the provisions of Ark. Code Ann. § 4-28-401 et seq., or as a result of any activities conducted in the State of
Arkansas giving rise to a cause of action.
It is hereby agreed that consent for service is irrevocable, and service on the Attorney General of the State of Arkansas shall be
binding on this organization as if due service had been made on its agents in person.
_______________________
___________________________________________________
Date Signed
Charitable Organization
BY:
___________________________________________________
Signature
___________________________________________________
Printed Signature
___________________________________________________
Title/Official Position
NOTARY
STATE OF ______________________
)
) SS.
COUNTY OF ____________________
)
Subscribed and sworn to, before me, a Notary Public in, and for, said County and State, this _______ day of
____________________, 200____.
__________________________________________
My Commission Expires:
Signature of Notary Public
______ / ______ / ______
__________________________________________
Printed Signature
County of Residence
_____________________

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