APPOINTMENT OF THE SECRETARY OF STATE
APPOINTMENT OF THE SECRETARY OF STATE
AS AGENT OF SERVICE
THE STATE OF ____________________ }
} KNOW ALL MEN BY THESE PRESENTS
COUNTY OF _______________________}
That________________________________________________________________, a
telephone solicitation seller in the state of ____________________, does hereby irrevocably designate, constitute and appoint the Secretary of State of the State of Texas and any successors in office, the authorized agent and attorney-in-fact of the above-named seller for the purpose of accepting service for it and being served for it with citation in any non-criminal suit, action, or proceeding against said seller or the seller's successor, executor, or administrator that may arise under Tex. Bus. & Com. Code, Section 302.001 et seq.
_________________________________ _____________________________________
(Signature & Title) (Signature & Title)
_________________________________ _____________________________________
(Typed or Printed Name) (Typed or Printed Name)
_________________________________ ____________________________________
(Signature & Title) (Signature & Title)
_________________________________ _____________________________________
(Typed or Printed Name) (Typed or Printed Name)
State of ______________________
County of ____________________
Sworn to and subscribed before me on the _______ day of ______________________, _______.
_____________________________________
Notary Public Signature
(seal)
_____________________________________
(Printed Name)
My commission expires __________________.
Form #3406
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