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Irrevocable Appointment Of Agent Upon Whom Service May Be Made And Covenant JR-11 - Nevada

Irrevocable Appointment Of Agent Upon Whom Service May Be Made And Covenant Form. This is a Nevada form and can be used in Investigations Division Nevada Gaming Commission And State Gaming Contol Board Statewide .
 Fillable pdf Last Modified 2/10/2012
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IRREVOCABLE APPOINTMENT OF AGENT UPON WHOM SERVICE MAY BE MADE AND COVENANT The undersigned, acting as an Independent Agent (or) Collection Representative (check one) for a Nevada gaming licensee(s), understands that in order to comply with the gaming laws and regulations of Nevada, does hereby: Irrevocably appoint the Secretary of State of Nevada as an agent upon whom process and any and all papers to the undersigned may be served for any and all matters arising under the Nevada Gaming Control Act, the regulations of the Nevada Gaming Commission and the State Gaming Control Board, and all judicial or legislative proceedings; the undersigned acknowledges that service of any and all papers, pleadings, or process made upon the Secretary of State shall have the same force and effect as though the undersigned had been personally served within the boundaries of the State of Nevada and that service upon the undersigned shall be deemed completed upon mailing by the Secretary of State copies of said papers, pleadings, or process served upon him, certified mail postage prepaid, to the below designated address. , (Name of Independent Agent) doing business as (Name of Business) , , (Street) at (City/State/Zip Code) This appointment shall remain in full force and effect as long as the undersigned is governed by and subject to the provisions of the Nevada Gaming Control Act. The undersigned, as a condition and consideration of doing business with (Enter Licensee/Casino Name) for the furnishing of preferred guest, as defined in Regulation 25 of the Regulations of the Nevada Gaming Commission and the State Gaming Control Board, agrees and covenants with the State of Nevada, the Nevada Gaming Commission and the State Gaming Control Board to be governed and bound by the Nevada Gaming Control Act, NRS 463.011 et seq., and the Regulations of the Nevada Gaming Commission and State Gaming Control Board as said statutes and regulations may apply to its business and activities relating to gaming within the State of Nevada. DATED this day of , . (Independent Agent's Signature) (Title) STATE OF ss. COUNTY OF On (Date) , (Name) personally appeared before me, a notary public in and for the above county and state, who acknowledged that he/she executed the above instrument free and voluntarily for the purpose set forth therein. NOTARY PUBLIC (Signature) JR-11_Reg 25 (Rev. 01/12) American LegalNet, Inc. www.FormsWorkFlow.com
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