Please visit our website at www.com.ohio.gov/real 614 | 466-4100 Fax 614 | 644-0584 TTY/TDD: 800 | 750-0750 REAL ESTATE CONSENT TO SERVICE OF PROCESS NON-RESIDENT REAL ESTATE LICENSEE CONSENT TO SERVICE OF PROCESS [R.C. 4735.17(B)] The undersigned NAME OF APPLICANT (type or print) , being a non-resident of Ohio, and [check one] an applicant for licensure an applicant for license renewal (including continuing education) a licensee who is a former resident of Ohio who does not have a current Non-Resident Real Estate Licensee Consent to Service of Process form on file with the Division pursuant to Section 4735.17(B) of the Ohio Revised Code does hereby irrevocably consent that suits and actions may be commenced against the above named applicant in the proper court of any county of this state in which a cause of action may arise or in which the plaintiff may reside by the service of any process or pleading authorized by the laws of this state on the superintendent of real estate, hereby stipulating and agreeing that such service shall be taken and held in all courts as valid and binding as if proper service had been made upon said applicant in this state. I certify that all of the statements on this application and all of the attached materials are complete and accurate. I understand that any false statement on this form or any of the attached materials may subject me to criminal prosecution and the loss of my real estate license. 1 SIGNATURE OF APPLICANT DATE Equal Opportunity Employer and Service COM 3637 (Rev. 02/2010) Page 1 of 1 1 Must be signed by the applicant or officer/member/partner/associate of the applicant corporation/company/partnership/ association who is authorized to bind same. American LegalNet, Inc. www.FormsWorkFlow.com