Consent To Service Of Process - Vermont Securities Division
Download a blank fillable Consent To Service Of Process - Vermont Securities Division in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Consent To Service Of Process - Vermont Securities Division with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1Vermont Securities Division
Department of Financial Regulation
89 Main Street, 2nd Floor
Montpelier, VT 05620-3101
802-828-3420
Fax: 802-828-2896
CONSENT TO SERVICE OF PROCESS
KNOW ALL MEN BY THESE PRESENTS that the undersigned ________________________________________________,
(a corporation) (a partnership), (a _______________) organized under the law of ________________, or (an individual) (strike
out inapplicable nomenclature) for purposes of complying with the laws of the State of Vermont, hereby irrevocably appoints
the Commissioner of the Department of Financial Regulation (“Commissioner”) for the State of Vermont and his/her
successors in office, its attorney in Vermont upon whom may be served any notice, process or pleading in any action or
proceeding against it arising out of, or in connection with, the sale of securities or out of violation of the aforesaid laws of the
State of Vermont; and the undersigned does hereby consent that any such action or proceeding against it may be commenced in
an administrative forum or in any court of competent jurisdiction, and proper venue within the State of Vermont by service of
process upon the Commissioner with the same effect as if the undersigned was organized or created under the laws of the State
of Vermont and have been served lawfully with the process in the State of Vermont
It is requested that a copy of any notice, process or pleading served hereunder be mailed to: ________________________
__________________________________________.
Dated this _____day of ________________, ______.
By:
__________________________________________________
__________________________________________________
__________________________________________________
Title
CORPORATE/LLC ACKNOWLEDGMENT
State or Province of ________________________
County of ___________________________________ ss.
On this ________day of _____________, ______, before me personally appeared
__________________________(title) of the above-named (corporation) (LLC) and acknowledged that s/he, as an (officer)
(LLC) being authorized so to do, executed the foregoing instrument for the purposes therein contained, by signing the name of
the (corporation) (LLC) by him/herself as an (officer) (member).
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
_________________________________________
Notary Public/Commissioner of Oaths
(SEAL)
My Commission Expires: ________________
INDIVIDUAL, PARTNERSHIP, OR LLP ACKNOWLEDGMENT
State or Province of __________________
County of __________________________ ss.
On this _________day of ____________, _______, before me personally appeared ____________________________
known personally to me to be the same person(s) whose name(s) is (are) signed to the foregoing instrument, and acknowledged
the execution thereof for the uses and purposes therein set forth.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
__________________________________________
(SEAL)
Notary Public/Commissioner of Oaths
My Commission Expires: _____________________
Rev 4.25.12
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial