Free APPOINTMENT OF THE SECRETARY OF STATE - Texas

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 the Texas Occupations Code, Chapter 1803. ___________________________________ (Signature & Title) ___________________________________ (Typed or Printed Name) ___________________________________ (Signature & Title) ___________________________________ (Typed or Printed Name) State of ______________________ County of ____________________ Sworn to and subscribed before me on the ______ day of ____________________, ________. ____________________________________ (Signature & Title) _____________________________________ (Typed or Printed Name) _____________________________________ (Signature & Title) _____________________________________ (Typed or Printed Name)

_____________________________________ Notary Public Signature (seal) ____________________________________ (Printed Name) My commission expires ___________________
Form #3205