California Code of Regulations
Title 10 - Investment
Chapter 3 - Commissioner of Financial Protection and Innovation
Subchapter 2.3 - Capital Access Companies
Article 2 - Application for Licensure and Related Forms
Section 280.152 - Consent to Service of Process; Form

The consent to service of process shall be made on the following form:

TO THE COMMISSIONER OF BUSINESS OVERSIGHT OF THE STATE OF CALIFORNIA CONSENT TO SERVICE OF PROCESS

KNOW ALL MEN BY THESE PRESENTS

That the undersigned, ______________________________ (a corporation, partnership or limited liability company organized under the laws of the State of _________________________), (an individual), (other ____________________) hereby irrevocably appoints the Commissioner of Business Oversight of the State of California, or the Commissioner's successor in office, to be the undersigned's attorney to receive service of any lawful process in any noncriminal suit, action or proceeding against the undersigned, or the undersigned's successor, executor, or administrator which arises under the Capital Access Company Law or any rule or order thereunder after this consent has been filed, with the same force and validity as if served personally on the undersigned.

For the purpose of compliance with the Capital Access Company Law, notice of the service and a copy of the process should be sent by registered or certified mail to the undersigned at the following address:

___________________________

(Name and Address)

ACKNOWLEDGEMENT

STATE OF CALIFORNIA)

COUNTY OF __________)

___________________________

On ____________________ before me, (here insert the name and title of the officer), personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.___________________________

WITNESS my hand and official seal.

Any certificate of acknowledgement taken in another place shall be sufficient in California if it is taken in accordance with the laws of the place where the acknowledgement is made. See, California Civil Code Section 1189.

1. New section filed 6-24-99; operative 7-1-99 pursuant to Government Code section 11343.4(d) (Register 99, No. 26).
2. Change without regulatory effect amending form filed 8-13-2014 pursuant to section 100, title 1, California Code of Regulations (Register 2014, No. 33).

Note: Authority cited: Sections 28108 and 28951, Corporations Code. Reference: Section 28108, Corporations Code.