Form DBO-260.165 "Consent to Service of Process" - California

What Is Form DBO-260.165?

This is a legal form that was released by the California Department of Financial Protection and Innovation - 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 October 1, 2017;
  • The latest edition provided by the California Department of Financial Protection and Innovation;
  • 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-260.165 by clicking the link below or browse more documents and templates provided by the California Department of Financial Protection and Innovation.

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Download Form DBO-260.165 "Consent to Service of Process" - California

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STATE OF CALIFORNIA – DEPARTMENT OF BUSINESS OVERSIGHT
CONSENT TO SERVICE OF PROCESS
DBO–260.165 (Revision 2009, No. 39) (Rev. 10-17)
TO THE COMMISSIONER OF BUSINESS OVERSIGHT OF
THE STATE OF CALIFORNIA
KNOW ALL MEN BY THESE PRESENTS:
That the undersigned, _______________________________________ (a corporation,
partnership or limited liability company organized under the laws of the State of
________________________),
OR
____________________________________________________ (an individual),
OR
_____________________________________________________ (other entity),
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 Corporate Securities Law of 1968 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 Corporate Securities Law of 1968 of the State of
California, 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)
Dated: _________________________, _________.
__________________________________
__________________________________
[Insert name of corporation, partnership,
limited liability company or other entity]
By _____________________________
Title ____________________________
OR
[Insert name of individual]
________________________________
STATE OF CALIFORNIA – DEPARTMENT OF BUSINESS OVERSIGHT
CONSENT TO SERVICE OF PROCESS
DBO–260.165 (Revision 2009, No. 39) (Rev. 10-17)
TO THE COMMISSIONER OF BUSINESS OVERSIGHT OF
THE STATE OF CALIFORNIA
KNOW ALL MEN BY THESE PRESENTS:
That the undersigned, _______________________________________ (a corporation,
partnership or limited liability company organized under the laws of the State of
________________________),
OR
____________________________________________________ (an individual),
OR
_____________________________________________________ (other entity),
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 Corporate Securities Law of 1968 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 Corporate Securities Law of 1968 of the State of
California, 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)
Dated: _________________________, _________.
__________________________________
__________________________________
[Insert name of corporation, partnership,
limited liability company or other entity]
By _____________________________
Title ____________________________
OR
[Insert name of individual]
________________________________
STATE OF CALIFORNIA – DEPARTMENT OF BUSINESS OVERSIGHT
CONSENT TO SERVICE OF PROCESS
DBO–260.165 (Revision 2009, No. 39) (Rev. 10-17)Page 2 of 2
State of California ___________________ )
County of _________________________ )
On __________________________ before me, ___________________________________ ,
(Name of Notary)
personally appeared ________________________________________________________________
(Here, insert Name and Title of the Officer)
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)
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.
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