14 Ill. Adm. Code 130.APPENDIX A
A Uniform Consent to Service of Process
Section 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)