TO THE COMMISSIONER OF CORPORATIONS 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 Corporations 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) Dated: ____________________________ By ____________________________________ Title _________________________________________ 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. Signature ________________________________________ (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. CACL 280.152 2001 © American LegalNet, Inc.