Application For Certificate Of Registration/renewal As An Athlete Agent Form (Page 6 of 9) in pdf

Application For Certificate Of Registration/renewal As An Athlete Agent Form Page 6

MICHAEL A. MAURO

Nonresident

Secretary of State

Athlete Agent

Consent to Service of Process

State of Iowa

I, _______________________________ , hereby grant irrevocable consent to the Secretary of State

pursuant to Iowa Code Chapter 9A, section 3(2), to act as an agent upon whom any process, notice, or

demand required or permitted by law may be served. I agree that service upon the Secretary of State is

sufficient service if the plaintiff forwards by certified mail one copy of the service to the business address of

the athlete agent on file in the office of the Secretary of State.

____________________________________________

Athlete agent or authorized representative

NOTARIZATION

State of _______________________

County of ______________________

Subscribed and sworn (or affirmed) before me this day of ___________________ , 20 ____

____________________________________________

_____________________________

Notary Public

My commission expires

NOTES:

1. ALL nonresident applicants must file with their application and consent, an agreement with an athlete agent who is a resident

of Iowa. The agreement must meet the requirements of Iowa Code Chapter 9A, section 4.

2. Nonresident applicants who are CORPORATIONS must also:

a) include a copy of the resolution of the corporation authorizing consent to service of process, and

b) possess a Certificate of Authority to Transact Business in Iowa, issued by the Secretary of State pursuant to Iowa Code

chapter 490, prior to applying for a Certificate of Registration as an Athlete Agent. The Secretary of State will supply the

copy of the applicant's Cerificate of Authority, as required of the applicant by Iowa Code Chapter 9A, if the Certificate of

Authority has been obtained prior to the date the application for Certificate of Registration is received. Applications cannot

be processed for nonresident corporations who do not possess a Certificate of Authority to Transact Business in Iowa.

3. The information you provide will be open for public inspection under Iowa Code section 22.11.

Return completed consent form and other required documents to:

SECRETARY OF STATE

Business Services Division

Lucas Building, 1st Floor

Des Moines, Iowa 50319

Phone: (515) 281-5204

FAX: (515) 242-5953 or (515) 281-7142

Website:

Rev. 04/07

Application For Certificate Of Registration/renewal As An Athlete Agent Form Page 6