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Form #2-A Revised 07.10.2024 Dawson County Alcohol Licensing 25 Justice Way, Suite 2223 I [PHONE REDACTED] Registered Agent Consent Form Business Name Business Address I, do hereby consent to serve as the Registered Agent for the licensee, owners, officers, and/or directors and to perform all obligations of such agency under the Alcoholic Beverage Ordinance of Dawson County. I understand the basic purpose is to have and continuously maintain a Registered Agent upon which any process, notice, or demand required or permitted by law or under said Ordinance to be served upon the licensee or owner may be served. This day of 20 Signature of Agent Print Name of Agent Print Agent’s Street Address Print Agent’s City – County – State – Zip Code Approved: Sole Owner/Partner Officer or Director Title