Form DBO-SLS101 "Appointment of Commissioner of Business Oversight as Agent for Service of Process Pursuant to Section 28117 of the California Financial Code" - California

What Is Form DBO-SLS101?

This is a legal form that was released by the California Department of Business Oversight - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2019;
  • The latest edition provided by the California Department of Business Oversight;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DBO-SLS101 by clicking the link below or browse more documents and templates provided by the California Department of Business Oversight.

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Download Form DBO-SLS101 "Appointment of Commissioner of Business Oversight as Agent for Service of Process Pursuant to Section 28117 of the California Financial Code" - California

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STATE OF CALIFORNIA – DEPARTMENT OF BUSINESS OVERSIGHT
APPOINTMENT OF COMMISSIONER OF BUSINESS OVERSIGHT AS AGENT FOR
SERVICE OF PROCESS PURSUANT TO SECTION 28117 of the California Financial
DBO-SLS 101 (Rev. 06-19)
Code
STATE OF CALIFORNIA
DEPARTMENT OF BUSINESS OVERSIGHT
STUDENT LOAN SERVICING PROGRAM
(name of servicer), which is applying for a
________________________________________________
license, or is already licensed under the Student Loan Servicing Act (commencing with Section 28100
of the California Financial Code), hereinafter referred to as “Servicer,” hereby irrevocably appoints the
Commissioner of Business Oversight of the State of California and his or her successor, to be the
Servicer's agent to receive service of any lawful process in any noncriminal judicial or administrative
proceeding against the Servicer, or any successor, executor, or administrator of the Servicer, which
arises under the Student Loan Servicing Act, or under any regulation or order issued under the
Student Loan Servicing Act, with the same force and validity as if served personally on the Servicer,
or any successor, executor or administrator of the Servicer.
Name of Servicer: ___________________________________________
By: ________________________________________
Signature
Name of Signatory (Printed): ____________________________________
Title of Signatory: _____________________________________
Dated: _________________________
This Appointment must be signed by an individual with authority to sign on behalf of the Servicer.
The signature of the individual signing the Appointment must be notarized.
A notary public or other officer completing this certificate verifies only the identity of the individual who
signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of
that document.
Any certificate of acknowledgement taken in another place shall be sufficient in the State of California, if
it is taken in accordance with the laws of the place where the acknowledgment is made.
STATE OF CALIFORNIA – DEPARTMENT OF BUSINESS OVERSIGHT
APPOINTMENT OF COMMISSIONER OF BUSINESS OVERSIGHT AS AGENT FOR
SERVICE OF PROCESS PURSUANT TO SECTION 28117 of the California Financial
DBO-SLS 101 (Rev. 06-19)
Code
STATE OF CALIFORNIA
DEPARTMENT OF BUSINESS OVERSIGHT
STUDENT LOAN SERVICING PROGRAM
(name of servicer), which is applying for a
________________________________________________
license, or is already licensed under the Student Loan Servicing Act (commencing with Section 28100
of the California Financial Code), hereinafter referred to as “Servicer,” hereby irrevocably appoints the
Commissioner of Business Oversight of the State of California and his or her successor, to be the
Servicer's agent to receive service of any lawful process in any noncriminal judicial or administrative
proceeding against the Servicer, or any successor, executor, or administrator of the Servicer, which
arises under the Student Loan Servicing Act, or under any regulation or order issued under the
Student Loan Servicing Act, with the same force and validity as if served personally on the Servicer,
or any successor, executor or administrator of the Servicer.
Name of Servicer: ___________________________________________
By: ________________________________________
Signature
Name of Signatory (Printed): ____________________________________
Title of Signatory: _____________________________________
Dated: _________________________
This Appointment must be signed by an individual with authority to sign on behalf of the Servicer.
The signature of the individual signing the Appointment must be notarized.
A notary public or other officer completing this certificate verifies only the identity of the individual who
signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of
that document.
Any certificate of acknowledgement taken in another place shall be sufficient in the State of California, if
it is taken in accordance with the laws of the place where the acknowledgment is made.
STATE OF CALIFORNIA – DEPARTMENT OF BUSINESS OVERSIGHT
APPOINTMENT OF COMMISSIONER OF BUSINESS OVERSIGHT AS AGENT FOR SERVICE
OF PROCESS PURSUANT TO SECTION 28117 of the California Financial Code
DBO-SLS 101 (Rev. 06-19)
Page 2 of 2
State of ___________________
County of _________________________
On this ____day of ___________, 20__, before me, _________________________________(Name
of Notary), personally appeared _______________________________________________(Name and Title
of Appointment signatory), who 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.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
Signature ____________________________
(Seal)
Page of 2