time of the effective date of the said withdrawal and further provided that said 60 days shall begin to run on the
day following receipt of notice by the Office of the Arkansas Attorney General. More particularly, all
obligations existing on the effective date of the Importer’s withdrawal, including, but not limited to any escrow
obligations, penalties, costs, and attorney’s fees, shall continue to be protected by this agreement, even though
no cause of action has accrued at the time of the withdrawal, until the running of the statute of limitations on
actions claiming against this obligation.
The above-named Importer, does hereby Consent that any action or proceeding against it pursuant to Act 1099
of 1999, ARK. CODE ANN. §§ 26-57-260 and 26-57-261, and Act 1073 of 2003, ARK. CODE ANN. §§ 26-57-
1301, et seq., as amended, by the State of Arkansas, may be commenced in any state court of competent
jurisdiction within Arkansas.
Proof of Authority to accept joint-and-several liability for Non-Participating Manufacturer under Act
1099 of 1999, ARK. CODE ANN. §§ 26-57-260 and 26-57-261, and Act 1073 of 2003, ARK. CODE ANN.
§§ 26-57-1301, et seq., as amended.
Proof of authority to consent to suit on behalf of the Importer, e.g., a resolution by the Importer
specifically agreeing to the consent to suit provision, as well as any required approval by an applicable
governmental agency, whether federal, state, county, local, or tribal.
Proof of authority given to the signing party to execute this agreement.
IMPORTER’S REGISTERED AGENT FOR SERVICE OF PROCESS:
→ A statement from the Registered Agent noting his or her service in this capacity must be included with this Certification Form.
Pursuant to Arkansas law, this Registered Agent must reside in the State of Arkansas.
Does the Importer submitting this form have a bond in place to cover escrow
liability for sales made in Arkansas during the sales year?
→ If your answer to the preceding question was “yes,” a copy of such bond must be included with this Certification Form.
Subscribed and Sworn Before Me on this Date:
Signature of Notary Public:
→ Seal of Notary must be included and should overlap the right-hand column of the above box.