OMB APPROVAL

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 3235-0681

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DESIGNATION OF U.S. AGENT FOR SERVICE OF PROCESS FOR NON-RESIDENTS

Please read the General Instructions for this form and other forms in the MA series, as well as its subsection, “General 

Instructions to Form MA-NR,” before completing this form. All italicized terms herein are defined or described in the 

Glossary of Terms appended to the General Instructions. 

Purpose: Each non-resident municipal advisor, non-resident general partner or non-resident managing 

agent of a municipal advisor, and non-resident natural person who is a person associated with the municipal

advisor and engaged in municipal advisory activities on its behalf must execute a written irrevocable consent 

and power of attorney on Form MA-NR to appoint an agent in the United States, upon whom may be served 

any process, pleadings, or other papers in any action brought against such non-resident municipal advisor, 

general partner, managing agent or natural person associated with the municipal advisor.

Instructions to Complete this Form:

1. This power of attorney, consent, stipulation, and agreement shall be signed and notarized by the

non-resident municipal advisor, non-resident general partner or managing agent, or non-resident

natural person who is a person associated with the municipal advisor and engaged in municipal

advisory activities on its behalf, as applicable, in Section A of Form MA-NR. The form must be

signed by the authorized agent for service of process in the United States in Section B of Form MA-NR.

2. The name of each person who signs this Form MA-NR must be typed or printed beneath the person’s

signature.

3. Any person who occupies more than one of the specified positions must indicate each capacity in

which the person is signing the form.

4. Section C Documentation: If any person signs this form pursuant to a written authorization – e.g., a

board resolution or power of attorney – an accurate and complete copy of each such document must be

included with the Form MA-NR.

5. Attachment to Form MA or Form MA-I:

a) Complete and execute a printed Form MA-NR, including signatures and notarization. Then

scan the original completed and executed form to create a PDF file. Please consult the instructions for uploading PDF files into EDGAR, found in the EDGAR Filer’s Manual, available at

http://www.sec.gov/info/edgar.shtml.

b) If any other documents are required, as specified in Section C of the form, include these documents in the same PDF file or create a separate one(s).

c) Attach the PDF file(s) to the Form MA or Form MA-I, as appropriate, where prompted in the

form.

SEC 2900 (4/14)
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Power of Attorney, Consent, Stipulation, and Agreement 

A. Designation and Appointment of Agent for Service of Process

Identify the agent for service of process for the non-resident municipal advisor, for the non-resident

general partner or managing agent of a municipal advisor, or for the non-resident natural person 

associated with the municipal advisor and engaged in municipal advisory activities on its behalf. Fill in 

all lines. 

1. Name of United States person designated and appointed as agent for service of process. 

Enter all the letters of each name and not initials or other abbreviations.

(If no middle name, enter NMN on that line.)

_________________________________________________________ 

(name)

2. Mailing Address of United States person designated and appointed as agent for service of process. 

Do not use a P.O. Box. Do not use a foreign address.

______________________________________________________________________ 

(number and street; office suite or room number) 

__________________ _______ _____________________ 

(city) (state) (U.S. postal code: zip+4) 

 

 ______________________________________ 

(area code) (telephone number) 

By signing this Form MA-NR or authorizing the signatory below to sign on your behalf, you – the nonresident municipal advisor, non-resident general partner or non-resident managing agent of a municipal 

advisor, or non-resident natural person who is a person associated with the municipal advisor and 

engaged in municipal advisory activities on its behalf (hereinafter, “the Designator”) – irrevocably 

designate and appoint the above United States person as your Agent for Service of Process, and agree 

that such person may be served on your behalf, of any process, pleadings, subpoenas, or other papers, 

and you further agree that such service may be made by registered or certified mail, in:

(a) any investigation or administrative proceeding conducted by the Commission (i) that relates to 

you or (as applicable) to the municipal advisor of which you are a general partner or managing 

agent, or with which you are associated and on whose behalf you are engaged in municipal 

advisory activities or (ii) with respect to which you may have information; and 

 

(b) any civil suit or action brought against you or (as applicable) the municipal advisor of which you 

are a general partner or managing agent, or with which you are associated and on whose behalf 

you are engaged in municipal advisory activities or to which you, or (as applicable) the 

municipal advisor of which you are a general partner or managing agent, or with which you are 

associated and on whose behalf you are engaged in municipal advisory activities 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. 
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The Designator 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. 

Appointment and Consent: Effect on Partnerships. If you are organized as a partnership, this 

irrevocable power of attorney and consent to service of process will continue in effect if any partner 

withdraws from or is admitted to the partnership, provided that the admission or withdrawal does not 

create a new partnership. If the partnership dissolves, this irrevocable power of attorney and consent 

shall be in effect for any action brought against you or any of your former partners.

Certification:

The undersigned certifies under penalty of perjury under the laws of the United States of America, that 

the information contained in this Form MA-NR is true and correct and that this Form MA-NR is signed 

as a free and voluntary act. 

Unless the Designator is a natural person signing on his or her own behalf, the undersigned further 

certifies that the Designator has duly caused this power of attorney, consent, stipulation, and agreement 

to be signed on the Designator’s behalf by the undersigned, thereunto duly authorized: 

Signature of Designator or Person Signing on Behalf of Designator: 

_____________________________________ Date: ____________________ 

Printed Name: ____________________________ Title: _________________ 

In the City of: __________________________ In the Country of: _______________________ 

The Designator is executing this Form MA-NR as a:

(Check all that apply.) 

___ Non-resident municipal advisory firm, other than a sole proprietor 

___ Non-resident natural person who is a person associated with the municipal advisor and engaged in 

municipal advisory activities on its behalf 

___ Non-resident municipal advisor sole proprietor 

___ Non-resident general partner of a municipal advisor 

Name of municipal advisor ______________________________________ 

___ Non-resident managing agent of a municipal advisor

Name of municipal advisor ______________________________________ 

The Designator is executing this Form MA-NR in connection with a(n): 

(Check all that apply.)

___Initial application on Form MA of the Designator for registration as a municipal advisor 

___Initial application on Form MA of the municipal advisor of which the Designator is a general partner 

or managing agent 

___Initial submission on Form MA-I filed regarding a natural person who is a person associated with the

municipal advisor and engaged in municipal advisory activities on its behalf
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___Change of status of Designator from a resident to a non-resident

___Amendment to information supplied on a previous Form MA-NR

 

Mailing Address of the Designator 

Do not use a P.O. Box. 

______________________________________________________________________ 

(number and street) 

__________ ___________ _________ _____________________________ 

(city) (state/region) (country) (postal code) 

________________________________________ 

(country code) (area code) (telephone number) 

 

For a telephone number outside of the U.S., provide the country code with the area code and number. 

EDGAR CIK No. (if any)___________ SEC File No. (if any): ______________ 

Notary Public Signature and Information: 

Signature: _________________________________ [PLACE SEAL HERE]

Subscribed and sworn to me this ____ day of __________, ______ 

My commission expires on _______________ County of ______________________ 

State/Region of ________________________ Country of _____________________ 

B. Acceptance of the Above Designation and Appointment as Agent for Service of Process. 

The United States person identified in Section A above as the agent for service of process hereby accepts 

this designation and appointment as agent for service of process, under the terms set forth in this Form 

MA-NR. By signing below, the signatory certifies that the person identified in Section A above as the 

agency for service of process has duly caused this power of attorney, consent, stipulation, and agreement 

to be signed on its behalf by the undersigned, thereunto duly authorized: 

 

Signature of U.S. Agent for Service of Process:

_____________________________________ Date: _________________________ 

Printed Name: _________________________ Title: _________________________ 

C. Attached Documents

1. Is any name signed above pursuant to a written authorization, such as a board resolution or power of 

attorney? Yes No

2. Is there a written contractual agreement or other written document evidencing the designation and 

appointment of the above named U.S. agent for service of process and/or the agent’s acceptance? 

 Yes No
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If “Yes” to Section C-1 and/or Section C-2., identify each such document on a separate line below, and 

include an accurate and complete copy of each such document as part of the PDF file in which the Form 

MA-NR is attached to the Form MA or Form MA-I, or attach each such document as a separate PDF to 

the relevant Form MA or Form MA-I.

________________________________________________________________ 

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