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under oath state th&- <br />(type/print name) <br />in adon, I understand, agree and hereby, irrevocably consent that suits and actions relating to subject <br />matter of the attached gambling manager license, or acts or ornissions, ansing from such application, may <br />be, commenced against my organization and I will accept the service of process for my organization in any <br />court of competent jurisdiction in Minnesota by service on the Minnesota, Secretary of State of any, summons, <br />process or pleading authorized by the laws of Minnesota. <br />By signature of this document,I the undersigned authoftes the Department of Public Safety to conduct a, <br />criminal background check or review and to share the results with the Lawful Gambling Control Board' <br />4 <br />Failure to provide required 'information or providing false or misiileadin�g Information may result 'in the denloal <br />or revocation of the license. <br />• <br />