Athlete Agent Financial Services Affidavit {2502}

Form 2502--General Information (Athlete Agent Financial Services Affidavit) The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant code provisions. This form and the information provided are not substitutes for the advice and services of an attorney. Commentary Pursuant to sections 2051.151(a-1), Occupations Code and 78.1, 78.51, and 78.52, Administrative Code, an application for registration (Form 2501) must be accompanied by either a $100,000 surety bond or an affidavit stating that the applicant has not entered into a financial services contract or provided financial services for an athlete, nor does the agent intend to. Submit either Form 2502 (this form) or Form 2503 (financial services bond form), but not both. Revised 12/11 Form 2502 1 American LegalNet, Inc. www.FormsWorkFlow.com Form #2502 Rev. 12/2011 This space reserved for office use Submit with Application (Form 2501) to: SECRETARY OF STATE Registrations Unit P O Box 13550 Austin, TX 78711-3550 512-475-0775 512-475-2815 - Fax Filing Fee: None. ATHLETE AGENT FINANCIAL SERVICES AFFIDAVIT Identifying Information Name of Applicant: Statement I, the individual named above, being of sound mind, capable of making this affidavit, personally acquainted with the facts herein, and having been first duly sworn certify that: I have not entered into a financial services contract with an athlete. I have not provided financial services to an athlete, including making and executing investment and other financial decisions for the athlete. I do not intend to enter into financial services contracts with athletes, and I will not enter into a financial services contract or provide financial services to an athlete without first posting a $100,000 surety bond with the Texas secretary of state. As used in this Statement, "financial services contract" and "athlete" have the meanings assigned by sections 2051.001(4) and 2051.001(2), Texas Occupations Code, respectively. Execution Date: Signature of Affiant Printed or typed name State of County of ) ) day of Notary Public Signature Sworn to and subscribed before me this (seal) , 20 . Form 2502 2 American LegalNet, Inc. www.FormsWorkFlow.com