Form DBO-5025 Appointment of Commissioner as Agent for Service of Process (Money Transmitters) - California

Form DBO-5025 or the "Appointment Of Commissioner As Agent For Service Of Process (money Transmitters)" is a form issued by the California Department of Business Oversight.

Download a PDF version of the Form DBO-5025 down below or find it on the California Department of Business Oversight Forms website.

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STATE OF CALIFORNIA – DEPARTMENT OF BUSINESS OVERSIGHT
APPOINTMENT OF COMMISSIONER AS AGENT FOR SERVICE
OF PROCESS (MONEY TRANSMITTERS)
DBO-5025 (Rev. 5-17)
The undersigned, (NAME OF APPLICANT), a corporation duly organized and existing
under the laws of the State of (NAME OF STATE) and duly authorized to do business
in
the State of California, in
accordance with Financial Code Section 2034, hereby
irrevocably appoints the Commissioner of Business Oversight of the State of California
and her/his successor from time to time
in
office to be (NAME OF APPLICANT)'s
agent to receive service of any lawful process in any non-criminal judicial or
administrative proceeding against (NAME OF APPLICANT) or any successor, executor
or administrator, which arises under Division 1.2 of the California Financial Code of the
State of California or any regulation or order issued thereunder, with the same force
and validity as if serviced personally on the company.
IN WITNESS W HEREOF, said corporation has caused this Certificate to be signed
on its behalf and its corporate seal affixed,
this
day of
,
20
(Name of Applicant)
By:
(Signature)
(Name and Title)
(Note: The
signature of
the
Applicant
must
be
acknowledged.)
STATE OF CALIFORNIA – DEPARTMENT OF BUSINESS OVERSIGHT
APPOINTMENT OF COMMISSIONER AS AGENT FOR SERVICE
OF PROCESS (MONEY TRANSMITTERS)
DBO-5025 (Rev. 5-17)
The undersigned, (NAME OF APPLICANT), a corporation duly organized and existing
under the laws of the State of (NAME OF STATE) and duly authorized to do business
in
the State of California, in
accordance with Financial Code Section 2034, hereby
irrevocably appoints the Commissioner of Business Oversight of the State of California
and her/his successor from time to time
in
office to be (NAME OF APPLICANT)'s
agent to receive service of any lawful process in any non-criminal judicial or
administrative proceeding against (NAME OF APPLICANT) or any successor, executor
or administrator, which arises under Division 1.2 of the California Financial Code of the
State of California or any regulation or order issued thereunder, with the same force
and validity as if serviced personally on the company.
IN WITNESS W HEREOF, said corporation has caused this Certificate to be signed
on its behalf and its corporate seal affixed,
this
day of
,
20
(Name of Applicant)
By:
(Signature)
(Name and Title)
(Note: The
signature of
the
Applicant
must
be
acknowledged.)
STATE OF CALIFORNIA – DEPARTMENT OF BUSINESS OVERSIGHT
APPOINTMENT OF COMMISSIONER AS AGENT FOR SERVICE
OF PROCESS (MONEY TRANSMITTERS)
DBO-5025 (Rev. 5-17)
DBO’s Privacy Notice on Collection
DBO Collects and Uses Personal Information: The DBO collects the information requested
on this form as authorized by Chapter 1 of Title 10 of the California Code of Regulations. The
DBO uses this information to process applications related to entities authorized to engage in
business under the Financial Institutions Law. Use of the personal Information DBO collects
is subject to limitations contained in the Information Practices Act of 1977 and other
applicable state and federal laws.
Providing Personal Information Is Mandatory: When providing information or documents,
please do not include unrequested personal information such as a Social Security number,
driver’s license number, or financial information.
DBO May Disclose Your Personal Information: We may share your personal information with
other federal and state financial institution regulators, or any law enforcement agency. Your
personal information may also be disclosed:
 In response to a Public Records Act request, as allowed by the Information Practices
Act.
 To another governmental agency as required by state or federal law.
 In response to a court order or administrative order, a subpoena or a search warrant.
Your Access to Your Personal Information: You may review the records maintained by DBO
that contain your personal information. To request access, contact: DBO Privacy Officer,
1515 K Street, Sacramento, CA 95814, (866) 275-2677.

Download Form DBO-5025 Appointment of Commissioner as Agent for Service of Process (Money Transmitters) - California

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