Appraisal Management Company - Initial License Application (Page 3 of 3) in pdf

Appraisal Management Company - Initial License Application Page 3

16. I acknowledge that I have read the Appraisal Management Company Licensing and Regulation Act

and will comply with all provisions contained therein.

17. I agree to comply with all provisions contained within the rules and regulations of the Louisiana Real

Estate Appraisers Board, as they are promulgated.

18. I agree to update the information contained in this application should any material changes occur.

ACKNOWLEDGMENT AND APPOINTMENT OF AGENT FOR SERVICE OF PROCESS

KNOW ALL MEN BY THESE PRESENTS:

That the undersigned individual personally appeared and did declare and acknowledge that he/she

signed the foregoing instrument for the objects and purposes therein expressed, and said applicant

herein being duly sworn by me, Notary, deposed and said that all and singular the facts set forth in

the foregoing application are true and correct; that the undersigned individual does hereby

constitute and appoint the Director of the Louisiana Real Estate Commission and his/her successors

in office as his/her true and lawful agent in Louisiana upon whom all judicial and other process

directed to such affiant may be served and service upon the agent so designated shall be equivalent

to a personal service upon said affiant. This appointment extends to all matters arising out of or in

conjunction with any real estate appraiser management company activities conducted by the affiant

in the State of Louisiana. This appointment is irrevocable. Attached is a copy of all corporation,

partnership or limited liability company registrations issued by each Office of the Secretary of State

where the entity seeking a license is registered.

Signature of Affiant:

_______________________________________

Title:

_______________________________________

For:

_______________________________________

STATE OF_______________________________________

PARISH/COUNTY OF_______________________________

SUBSCRIBED AND SWORN TO BEFORE ME THIS ____ DAY OF _______________________, 20_________.

__________________________________________

Notary Public

My Commission expires ______________________________.

AMC Rev. 03/14

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Appraisal Management Company - Initial License Application Page 3