Form MA-NR Form MA-NR

FORM MA-NR
DESIGNATION OF U.S. AGENT
FOR SERVICE OF PROCESS

Applicant Name: _________________________________

Official Use

Municipal Advisor Name: __________________________
Date:__________
Advisor SEC No.: __________

Use Form MA-NR to identify an agent for service of process for non-resident municipal advisors and non-resident general partners and
managing agents of municipal advisors.
Instructions:

1. The power of attorney, consent, stipulation and agreement shall be signed by the applicant and its authorized agent for
service of process in the United States.
2. The name of each person who signs this Form MA-NR shall be typed or printed beneath such person’s signature.
3. Any person who occupies more than one of the specified positions shall indicate each capacity in which such person
signs Form MA-NR.
4. If any name is signed pursuant to a board resolution, a copy of the resolution shall be filed as an attachment to the
applicant’s Form MA-NR.
5. If any name is signed pursuant to a power of attorney, a copy of the power of attorney shall be filed as an attachment to
the applicant’s Form MA-NR.

A.

Name of United States person applicant designates and appoints as agent for service of process

B.

Address of United States person applicant designates and appoints as agent for service of process

The above identified agent for service of process may be served any process, pleadings, subpoenas, or other papers in
(a) any investigation or administrative proceeding conducted by the Commission that relates to the applicant or about which the applicant may
have information; and
(b) any civil suit or action brought against the applicant or to which the applicant has been joined as defendant or respondent, in any
appropriate court in any place subject to the jurisdiction of any state or of the United States or of any of its territories or possessions or of the
District of Columbia, where the investigation, proceeding or cause of action arises out of or relates to or concerns municipal advisory activities
of the municipal advisor. The applicant stipulates and agrees that any such civil suit or action or administrative proceeding may be
commenced by the service of process upon, and that service of an administrative subpoena shall be effected by service upon the above-named
Agent for Service of Process, and that service as aforesaid shall be taken and held in all courts and administrative tribunals to be valid and
binding as if personal service thereof had been made. Such person cannot be a Commission member, official, or employee.
The applicant certifies that it has duly caused this power of attorney, consent, stipulation and agreement to be signed on its behalf by the
undersigned, thereunto duly authorized,
In the City of:

In the Country of:

Applicant Name:

Date:

Signature:

Print Name and Title:

Notary Public Signature and Information:
Signature:
Subscribed and sworn to me this ___ day of _______, ______
My Commission expires _______________ County of ______________________ State of ________________

This statement has been signed by the following persons in the capacities and on the dates indicated.
1. Signature:
Print Name and Title:
Date:
2.

Signature:
Print Name and Title:
Date:

3.

Signature:
Print Name and Title:
Date: