Second Notice Of Transaction Pursuant To Corporations Code Section 25102(N) (2006) Page 2

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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 ___________________), (an individual),
(other _________________) 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 California 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 Corporations Code 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: ________________________, _________.
_________________________________________
By ______________________________________
Title _____________________________________
State of California
)
County of _____________________)
On ______________________________ before me, (here insert name and title of the officer),
personally appeared ____________________________________________ personally known to me (or 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.
WITNESS my hand and official seal.
Signature___________________________________
(Seal)
Any certificate of acknowledgement taken in another state shall be sufficient in the State of California if
it is taken in accordance with the laws of the place where the acknowledgement is made.
260.165 (Rev. 1/96)

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