APPOINTMENT OF SECRETARY OF STATE AS AGENT FOR SERVICE OF PROCESS FOR NON-RESIDENT UNDER T.C.A. 35-50-107 ESTATE OF:_____________________________________ Docket No: ________________ THE UNDERSIGNED __________________________________________________, a non-resident person, bank or trust company, wishing to act as a fiduciary in the state of Tennessee in conformity with the laws thereof, hereby constitutes and appoints the Secretary of State of the State of Tennessee, as the undersigned’s agent for service of process. All process in any suit or proceeding against the undersigned may be served upon the Secretary of State in any action or proceeding relating to any trust, estate, or matter within this state in respect of which the undersigned is acting in any fiduciary capacity. The undersigned agrees that any process against the undersigned which is served upon such Secretary of State, shall be of the same legal force and validity as if served on the undersigned. It is understood that this appointment shall continue so long as any liability shall remain outstanding against the undersigned pertaining to any such matters. The undersigned fiduciary requests that copies of legal process affecting said fiduciary be forwarded to the following address: _________________________________ _________________________________ _________________________________ IN WITNESS whereof, the undersigned executes this appointment this ____ day of __________, 20_____. ______________________________ PERSONAL REPRESENTATIVE WITNESS, Chris Thomas, Clerk BY:_________________________D.C. PROBATE COURT, SHELBY COUNTY, TN MAIL THIS FORM AND A $10 CHECK TO: RILEY C. DARNELL, SECRETARY OF STATE 312 8TH AVENUE NORTH, 6TH FLOOR NASHVILLE, TN 37243-0306 American LegalNet, Inc. www.USCourtForms.com