STATE OF CALIFORNIA - DEPARTMENT OF FINANCIAL PROTECTION AND INNOVATION
APPOINTMENT OF COMMISSIONER OF FINANCIAL PROTECTION AND INNOVATION AS AGENT FOR SERVICE OF PROCESS PURSUANT TO SECTION 100003 of the California Financial Code
State of California
Department of Financial Protection and Innovation
Debt Collection Licensing Program
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Name of debt collector, which is applying for a license under the Debt Collection Licensing Act (commencing with Section 100000 of the California Financial Code), hereinafter referred to as "Debt Collector," hereby irrevocably appoints the Commissioner of Financial Protection and Innovation of the State of California and his or her successor to be the Debt Collector's agent to receive service of any lawful process in any noncriminal judicial or administrative proceeding against the Debt Collector, or any successor, executor, or administrator of the Debt Collector, which arises under the Debt Collection Licensing Act, or under any regulation or order issued under the Debt Collection Licensing Act, with the same force and validity as if served personally on the Debt Collector, or any successor, executor or administrator of the Debt Collector.
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Name of Debt Collector (Printed)
By:____________________________________________________________
(Signature)
Name of Signatory (Printed):____________________________________
Title of Signatory:_____________________________________________
Dated:__________________________________________________________
Cal. Code Regs. Tit. 10, § 1850.8
Note: Authority cited: Section 100003, Financial Code. Reference: Sections 100003, 100005. 100006.3 and 100015, Financial Code.