California Code of Regulations
Title 10 - Investment
Chapter 1 - Commissioner of Business Oversight, Division of Financial Institutions
Subchapter 95 - Forms
Section 95.4025 - Appointment of Commissioner of Financial Institutions as Agent for Service of Process

Universal Citation: 10 CA Code of Regs 95.4025
Current through Register 2024 Notice Reg. No. 38, September 20, 2024

The following is an illustration of Department Form 4025:

Form 4025 (7-1-97)

California Department of Financial Institutions

APPOINTMENT OF COMMISSIONER OF FINANCIAL INSTITUTIONS AS AGENT FOR SERVICE OF PROCESS

__________________________________________________________________________________

(Name of Applicant)

(hereinafter referred to as the "Applicant"), which is applying for a license under the California Payment Instruments Law (Division 16 (commencing with Section 33000) of the California Financial Code), in accordance with California Financial Code Section 33261, hereby irrevocably appoints the Commissioner of Financial Institutions of the State of California and his successor from time to time in office be the Applicant's agent to receive service of any lawful process in any noncriminal judicial or administrative proceeding against the Applicant, or any successor, executor, or administrator of the Applicant, which arises under the California Payment Instruments Law or under any regulation or order issued under the California Payment Instruments Law, with the same force and validity as if served personally on the Applicant.

Dated:___________________________

___________________________

(Name of Applicant)

By___________________________

(Signature)

___________________________

(Name and Title)

(The signature of the Applicant must be acknowledged.)

1. New section filed 7-16-80; designated effective 9-2-80 (Register 80, No. 29).
2. Change without regulatory effect amending section heading and section filed 8-19-97 pursuant to section 100, title 1, California Code of Regulations (Register 97, No. 34).

Note: Authority cited: Section 215, Financial Code. Reference: Section 1859, Financial Code.

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