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Consent To Service Of Process CONS - Vermont
| Consent To Service Of Process Form. This is a Vermont form and can be used in Securities Blue Sky Secretary Of State . |
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Vermont 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 My Commission Expires: ________________ (SEAL) 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. __________________________________________ Notary Public/Commissioner of Oaths My Commission Expires: _____________________ (SEAL) Rev 4.25.12 American LegalNet, Inc. www.FormsWorkFlow.com
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