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Notice Of Transfer Of Certificate Of Authority - Nevada

Notice Of Transfer Of Certificate Of Authority Form. This is a Nevada form and can be used in Video Service Providers Secretary Of State .
 Fillable pdf Last Modified 6/27/2011
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ROSS MILLER Secretary of State 204 North Carson Street, Suite 1 Carson City, Nevada 89701-4520 (775) 684-5708 Website: www.nvsos.gov Notice of Transfer of Certificate of Authority (PURSUANT TO NRS CHAPTER 711) Page 1 USE BLACK INK ONLY - DO NOT HIGHLIGHT ABOVE SPACE IS FOR OFFICE USE ONLY 1. Name of Certificate Holder: 2. Name of Successor-in-Interest: 3. The location of the principal place of business of the successor-in-interest is: Street Address City State Zip Code 4. The names of the principal executive officers or general partners of the successor-in-interest are: (if more than six, please attach an 8 1/2" x 11" plain sheet of paper and continue listing each name and title) Name Title Name Title Name Title Name Title Name Title Name Title Filing Fee: $1,000.00 Nevada Secretary of State CA Transfer Page 1 Revised: 4-28-09 American LegalNet, Inc. www.FormsWorkFlow.com ROSS MILLER Secretary of State 204 North Carson Street, Suite 1 Carson City, Nevada 89701-4520 (775) 684-5708 Website: www.nvsos.gov Notice of Transfer of Certificate of Authority (PURSUANT TO NRS CHAPTER 711) Page 2 USE BLACK INK ONLY - DO NOT HIGHLIGHT ABOVE SPACE IS FOR OFFICE USE ONLY 5. Date of Transfer: 6. Signature of Certificate Holder: Name Title X Signature of holder transferring interest 7. Confirmation, Certifications and Signature of Successor-in-Interest: The successor-in-interest has agreed that any collective bargaining agreement entered into by the holder shall continue to be honored, paid or performed by the successor-in-interest to the same extent as would be required if the holder continued to operate under its certificate unless such continued application of the collective bargaining agreement to the successor-in-interest is prohibited or limited by the terms of the agreement or by federal or state law. The successor-in-interest hereby agrees to comply with all the applicable federal and state laws and regulations; all generally applicable, nondiscriminatory local laws regarding the use and occupation of any public right-of-way or highway in the construction, operation, maintenance and repair of a video service network, including, without limitation, any local laws, enacted pursuant to the police powers of the local government in which the video service network is located; and has filed or will timely file with the Federal Communications Commission all the forms required by that agency before offering video service. X Name Signature of successor-in-interest State of County of Subscribed and sworn on 20 , by Notary Signature Nevada Secretary of State CA Transfer Page 2 Revised: 4-28-09 American LegalNet, Inc. www.FormsWorkFlow.com
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