§130.APPENDIX A. Uniform Consent to Service of Process

FORM U-2-UNIFORM CONSENT TO SERVICE OF PROCESS

 

KNOW ALL MEN BY THESE PRESENTS:

 

That the undersigned,_____________________________ , (a corporation Organized under the laws of the State of _______________________) (a partnership) (an individual) (other ______________________ ) for the purpose of complying with the laws of the State of ___________________relating to either the registration or sale of securities, hereby irrevocably appoints __________________________, and the successors in such office, its attorney in the State of _________________ 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 said State; and the undersigned does hereby consent that any such action or proceeding against is may be commenced in any court of competent jurisdiction and proper venue within said State by service of process upon said officer with the same effect as if the undersigned was organized or created under the laws of said State and had lawfully been served with process in said State.

 

It is requested that a copy of any notice, process or pleading served hereunder be mailed to:

 

 

(Name and Address)

 

Dated _______________________, 19____.

 

	By:
		Title
	By:
		Title

 

CORPORATE ACKNOWLEDGEMENT

 

STATE OF	)	ss.
COUNTY OF	)

 

On this _________ day of __________________, 19_____, before me __________________ the undersigned officer, personally appeared __________________and __________________, known personally to me to be the ____________________________ President and __________________________ Secretary, respectively, of the above named corporation, and that they, as such officers, being authorized so to do, executed the foregoing instrument for the purposes therein contained, by signing the name of the corporation by themselves as such officers.

 

 

 

 

 

	Notary Public
	My Commission expires:
(NOTARIAL SEAL)

 

 

INDIVIDUAL OR PARTNERSHIP ACKNOWLEDGEMENT

 

STATE OF	)	ss.
COUNTY OF	)

 

On this ______ day of_________________, 19_____, before me, _________________, the undersigned officer, personally appeared ________________ to me personally known and known 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
	My Commission expires:
(NOTARIAL SEAL)

 

(Source:  Added at 14 Ill. Reg. 884, effective 12/30/89)