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Application For Registration Foreign Statutory Trust - 2009 - Office Of The Secretary Of The State Of Connecticut Page 2

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9. Appointment of Agent for Service of Process

(Check A or complete B.)

A. _________

The statutory trust appoints the Secretary of the State of Connecticut and his successors in office to be its

agent upon whom any process, in any action or proceeding against it, may be served.

B. _________

The statutory trust appoints the following Connecticut resident; domestic corporation; limited liability

company; registered limited liability partnership; or statutory trust or foreign authorized/registered

corporation; limited liability company; registered limited liability partnership; or statutory trust to be its

agent upon whom any process, in any action or proceeding against it, may be served.

Business address: (P.O. Box is unacceptable)

Print or type name of agent

______________________________________

Residence address: (P.O. Box unacceptable)

Acceptance of Appointment

______________________________________________________________________

Signature of Agent

10. Execution-REQUIRED: (Subject to penalty of false statement.)

Dated this _____ day of _________, 20______.

Print or type name of signatory

Capacity of signatory

Signature

REV. 12/07/09

Application For Registration Foreign Statutory Trust - 2009 - Office Of The Secretary Of The State Of Connecticut Page 2