Form 260.165 - Consent To Service Of Process

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TO THE COMMISSIONER OF CORPORATIONS OF
THE STATE OF CALIFORNIA
CONSENT TO SERVICE OF PROCESS
KNOW ALL MEN BY THESE PRESENTS:
That the undersigned, [_______________________________________________________________________ (a
corporation, partnership or limited liability company organized under the laws of the State of
___________________________),
OR
____________________________________________________ (an individual),
OR
_____________________________________________________ (other entity),]
hereby irrevocably appoints the Commissioner of Corporations of the State of California, or the Commissioner's successor
in office, to be the undersigned's attorney to receive service of any lawful process in any noncriminal suit, action or
proceeding against the undersigned, or the undersigned's successor, executor, or administrator which arises under the
Corporate Securities Law of 1968 or any rule or order thereunder after this consent has been filed, with the same force and
validity as if served personally on the undersigned.
For the purpose of compliance with the Corporate Securities Law of 1968 of the State of California, notice of the
service and a copy of the process should be sent by registered or certified mail to the undersigned at the following address:
__________________________________________________________________________________________________
(Name and Address)
__________________________________________________________________________________________________
Dated: _________________________, _________.
__________________________________
__________________________________
[Insert name of corporation, partnership,
limited liability company or other entity]
By _____________________________
Title ____________________________
OR
[Insert name of individual]
________________________________
State of California
)
County of ________________________)
260.165 (Register 2009, No. 39)
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