Form C-Uniform Franchise Consent To Service Of Process

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Form C - Uniform Franchise Consent to Service of Process
UNIFORM FRANCHISE CONSENT TO SERVICE OF PROCESS
(Name of Franchisor
,a
(Form of entity)
organized under the laws of
(state of formation)
(The
“Franchisor”), irrevocably appoints the officers of the States designated below and their successors in those
offices, its attorney in those State for service of notice, process or pleading in an action or proceeding
against it arising out of or in connection with the sale of franchises, or a violation of the franchise laws of
that State, and consents that an action or proceeding against it may be commenced in a court of competent
jurisdiction and proper venue within that State by service of process upon this officer with the same effect
as if the undersigned was organized or created under the laws of that State and had lawfully been served
with process in that State. We have checked below each state in which this application is or will be shortly
on file, and provided a duplicate original bearing an original signature to each state.
— California: Commission of Corporations
— North Dakota: Securities Commissioner
— Hawaii: Commissioner of Securities
— Rhode Island: Department of Business
Regulation
— Illinois: Attorney General
— South Dakota: Director of the
Division of Securities
— Indiana: Secretary of State
— Virginia: Clerk, Virginia State
Corporation Commission
— Maryland: Securities Commissioner
— Washington: Director of Financial
Institutions
— Minnesota: Commissioner of Commerce
— Wisconsin: Administrator, Division of
Securities, Department of
Financial Institutions
— New York: Secretary of State
Please mail or send a copy of any notice, process or pleading served under this consent to:
(Name and address)
Dated:_____________________,20__.
Franchisor:
By:
Name:
Title:
Sworn to before me this __
day of _____________ 20__
-----------------------------------______________________

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