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ST-C-214-8 (REV. 3/13)
Georgia Department of Revenue
Sales Tax Contracting Unit
1800 Century Blvd. NE
Atlanta, GA 30345
Phone: 1- 877-423-6711
Fax: (404) 417-6610
E-mail:
TSD-sales-tax-contractors@dor.ga.gov
Website:
etax.dor.ga.gov
STATE OF GEORGIA
SECRETARY OF STATE
NONRESIDENT CONTRACTOR’S CONSENT TO SERVICE OF PROCESS
(CORPORATION)
KNOW ALL MEN BY THESE PRESENTS:
That _______________________________________________________________________________
a corporation organized and existing under and by virtue of the laws of ___________________ State for the
purpose of complying with Section 48-13-30 through 48-13-38 of the Official Code of Georgia Annotated does
hereby irrevocably appoint the Secretary of the State of Georgia, or his successor in office, as its true
and lawful agent upon whom may be served any summons or other lawful process in any action or proceeding
against it for the collection of all taxes, including contribution due under the employment security law,
imposed by the State of Georgia or any political subdivision thereof and growing out of the execution and
performance of any contract by the said corporation as a contractor as defined by the said Act; and the said
corporation does hereby consent and agree that the service of the said process on the Secretary of State shall
be of the same legal force and validity as if due service had been made upon it within the State of Georgia;
and the said corporation does hereby direct that the Secretary of State forward the said process to it at the
following address:
____________________________________________________________________________
IN WITNESS WHEREOF, the undersigned, for and in behalf of himself/herself and the said corporation, has
caused this instrument to be executed this _____ day of_______________,20____.
_______________________________
Name of corporation
(STATE OF _________________)
By:_____________________________
Officer signature
(COUNTY OF _______________)
_____________________________
Print name and title
Sworn to and subscribed before me this _____day of_______________, 20_____.
_________________________________, Notary Public
(NOTARIAL SEAL)
My Commission Expires ______________________