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This space reserved for office use.
Appointment of the
Secretary of State as
Agent of Service
Form 3205
(Revised 03/15)
Submit to:
Secretary of State
Registrations Unit
P.O. Box 13550
Austin, TX 78711-3550
512 475-0775
FAX: 512 475-2815
KNOW ALL MEN BY THESE PRESENTS
THE STATE OF }
COUNTY OF }
That _____________________________________________, a
telephone solicitation seller in the state of , does hereby irrevocably
designate, constitute and appoint the Secretary of State of the State of Texas and any successors
in office, the authorized agent and attorney-in-fact of the above-named seller for the purpose of
accepting service for it and being served for it with citation in any non-criminal suit, action, or
proceeding against said seller or the seller's successor, executor, or administrator that may arise
under the Texas Occupations Code, Chapter 1803.
(Signature & Title)
(Typed or Printed Name)
(Signature & Title)
(Typed or Printed Name)
(Signature & Title)
(Typed or Printed Name)
(Signature & Title)
(Typed or Printed Name)
State of
County of
