Application For Certificate Of Authority/affidavit Of Acceptance Of Appointment By Designated Initial Registered Agent Page 3

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AFFIDAVIT OF ACCEPTANCE OF APPOINTMENT
BY DESIGNATED INITIAL REGISTERED AGENT
STATE OF
COUNTY OF
On this
day of
, before me a Notary Public in and for the State and County
aforesaid, personally appeared
,
who is to me known to be the person
and who acknowledged to me that the appointment as the Initial Registered Agent is accepted for
a Foreign Corporation which
is applying for a Certificate of Authority to transact business pursuant to the provisions of the Business
Corporation Act of the State of New Mexico.
_______________________________________
Individual Registered Agent's Signature
OR
_______________________________________
Registered Agent's Corporate Name
By_____________________________________
Signature of Agent's President/Vice President
(NOTARY SEAL)
_________________________________
NOTARY PUBLIC
My Commission Expires:_____________

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