Form 260.165 - Consent To Service Of Process (Page 2 of 2) in pdf

Form 260.165 - Consent To Service Of Process Page 2

On __________________________ before me, ____________________________________________________,

(Name of Notary)

personally appeared ___________________________________________________________________________ (who

(Here, insert Name and Title of the Officer)

proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within

instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that

by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted,

executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and

correct.

WITNESS my hand and official seal.

Signature ____________________________

(Seal)

Any certificate of acknowledgement taken in another place shall be sufficient in the State of California if it is

taken in accordance with the laws of the place where the acknowledgment is made.

260.165 (Register 2009, No.39)

Form 260.165 - Consent To Service Of Process Page 2