Consent To Service Of Process {CT BOIA-2}

Print Form Clear Form FORM CT BOIA-2 CONSENT TO SERVICE OF PROCESS · · · · Pursuant to the Business Opportunity Investment Act, applicants must complete this form Corporations must fill in Parts I and II Individuals and partnerships must fill in Parts I and III Limited liability companies must fill in Parts I and IV PART I KNOW ALL MEN BY THESE PRESENTS That the undersigned _________________________________________ (a corporation) (a partnership) (a limited liability company) organized under the laws of ______________________ or (an individual) [strike out inapplicable nomenclature] for the purpose of complying with the laws and regulations of the State of Connecticut, hereby irrevocably appoints the Banking Commissioner of the State of Connecticut, and the successors in such office, its attorney in the State of Connecticut upon whom may be served any notice, process or pleading in any noncriminal suit, action or proceeding against the seller or the seller's successor, executor or administrator which arises under sections 36b-60 to 36b-80, inclusive, of the Connecticut General Statutes or any regulation or order adopted or issued under said sections, with the same force and validity as if served personally on the person filing this Consent to Service of Process, and the undersigned does hereby consent that any such action or proceeding against it may be commenced in any court of competent jurisdiction and proper venue within said State or in any administrative agency by service of process upon said officer with the same effect as if the undersigned has lawfully been served with process or notice in said State. It is requested that a copy of any notice, process or pleading served hereunder be mailed to: ____________________________________________________________________________ Name Address (SEAL) Dated this _________ day of _______________________________ 20_______ Name of Seller: ______________________________________________________ Signature: Title of Signatory: _________________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com CORPORATE ACKNOWLEDGMENT PART II STATE OF __________________________________ COUNTY OF ____________________________ss: ___________________________ On this the ___________ day of ______________________ 20____, before me, the undersigned officer, personally appeared _____________________________________________ who acknowledged himself/herself to be the _______________________ of ________________________________, a corporation, and that he/she, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained, by signing the name of the corporation by himself/herself as _________________________________ IN WITNESS WHEREOF I hereunto set my hand ________________________________ Notary Public My Commission Expires: 2 American LegalNet, Inc. www.FormsWorkFlow.com INDIVIDUAL OR PARTNERSHIP ACKNOWLEDGMENT PART III STATE OF _____________________________________ COUNTY OF ____________________________________ ss: ________________________ On this _______ day of _______________________, 20______, before me, ________________________________________, the undersigned officer, personally appeared __________________________________known to me (or satisfactorily proven) to be the same person whose name is signed to the foregoing instrument, and acknowledged the execution thereof for the uses and purposes therein set forth. IN WITNESS WHEREOF I hereunto set my hand. ________________________________ Notary Public My Commission Expires: ________________ 3 American LegalNet, Inc. www.FormsWorkFlow.com LIMITED LIABILITY COMPANY ACKNOWLEDGMENT PART IV STATE OF ________________________________ COUNTY OF ____________________________ ss: ______________________________ On this the _____ day of _____________________ 20_____, before me, ___________________________________, the undersigned officer, personally appeared __________________________________ who acknowledged himself/ herself to be the ______________________________ of _________________________________________, a (member managed or manager managed) limited liability company, and that he/she, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained, by signing the name of the limited liability company by himself/herself as _____________________. In witness whereof I hereunto set my hand. ________________________________ Notary Public My Commission Expires: ________________ 4 American LegalNet, Inc. www.FormsWorkFlow.com