FIS 0567 (5/04) Office of Financial and Insurance Services This form is issued under Act 265, PA 1964, as amended. You must complete this form if you wish to claim exemption under Rule 803.7 UNIFORM LIMITED OFFERING EXEMPTION Consent to Service of Process and Undertaking KNOW ALL MEN BY THESE PRESENTS: That a/an (Issuer) (designate whether Issuer is an individual or an organization) of (number, street, city, state and zip code) for the purpose of complying with the laws of the state of Michigan, hereby irrevocably appoints the Administrator of the Office of Financial and Insurance Services, or the Administrator's successor in office, to be the applicant's attorney to receive service of any lawful process in any noncriminal suit, action or proceeding against applicant, its successor, executor or administrator, which may arise under the Michigan Uniform Securities Act (being Act 265 of the Public Acts of 1964, as amended) or any rule or order thereunder after the filing hereof: and the applicant does hereby consent that any such suit, action or proceeding against applicant may be commenced in any court of competent jurisdiction and proper venue within the State of Michigan by service of process upon the said Administrator with the same force and validity as if served upon the applicant by service personally on its president or other chief officer, if a corporation, or one of its members if a limited liability company, or on one of its partners, if a partnership, or on one of its trustees, if a trust, or on the individual, if an individual. Pursuant to the provisions of Michigan Securities Rule 803.7 (R 451.803.7) (Issuer) hereby agrees that upon written request of the Administrator, it will furnish to the Administrator the information furnished by the Issuer to offerees. Title Signature Date State of County of Subscribed and sworn to before me this day of A.D. Notary Public County of State of IF CORPORATION, EXECUTE RESOLUTION AUTHORIZING CONSENT TO SERVICE OF PROCESS ON BACK American LegalNet, Inc. www.FormsWorkflow.com UNIFORM FORM OF CORPORATE RESOLUTION OF (Name of Corporation) RESOLVED, that it is desirable and in the best interest of this Corporation that its securities be qualified or registered for sale in various states; that the President or any Vice President and the Secretary or an Assistant Secretary hereby are authorized to determine the states in which appropriate action shall be taken to qualify or register for sale all or such part of the securities of this Corporation as said officers may deem advisable; that said officers are hereby authorized to perform on behalf of this Corporation any and all such acts as they may deem necessary or advisable in order to comply with the applicable laws of any such states and rules thereunder, and in connection therewith to execute and file all requisite papers and documents including, but not limited to, applications, reports, surety bonds, irrevocable consents and appointments of attorneys for service of process; undertakings; and the execution by such officers of any such paper or document or the doing by them of any act in connection with the foregoing matter shall conclusively establish their authority therefor from this Corporation and the approval and ratification by this Corporation of the papers and documents so executed and the action so taken. CERTIFICATE The undersigned hereby certifies that he/she is the Secretary of , a corporation organized and existing under the laws of the State of ; that the foregoing is a true and correct copy of a resolution duly adopted at a meeting of the Board of Directors of said corporation held on the day of , , at which meeting a quorum was at all times present and acting; that the passage of said resolution was in all respects legal; and that said resolution is in full force and effect. Signature of Secretary Date (Corporate Seal) American LegalNet, Inc. www.FormsWorkflow.com