Form Fa - Foreign Corporation Application Page 3
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1
2
3Resolution
et seq
Signature of Officer (EXACTLY as shown on application)
Title of Officer
Date
Irrevocable Consent
IN WITNESS WHEREOF, Said corporation has caused these presents to be executed by its
President or Vice President and its Secretary or Assistant Secretary
th
.
Day
Month
Year
Signature of President or Vice President (circle one) EXACTLY as shown on application
Signature of Secretary or Assistant Secretary (circle one) EXACTLY as shown on application
Page 3 of 4
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