Appointment of Statutory Agent - Landlord

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" rowspan="2" width=299 style="border-right: 1px solid #990000;" BGCOLOR="#C0C0C0" TEXT="#080000"> <bR> <div> <IMG BORDER="0" SRC="1x1.gif" HEIGHT="17" ALIGN="BOTTOM" HSPACE="0" VSPACE="0" WIDTH="17"><FONT SIZE="2" COLOR="#000000" FACE="Arial" >                   </FONT><IMG BORDER="0" SRC="1x1.gif" HEIGHT="17" ALIGN="BOTTOM" HSPACE="0" VSPACE="0" WIDTH="17"></div> <div> <A HREF="index.htm" TARGET="_top" TITLE="Casler Law Office"><B>HOME</B></A></div> <bR> <div> <A HREF="id2.htm" TARGET="_top" TITLE="About Carlton C. Casler"><B>About Carlton C. 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Property Address:</B><FONT SIZE="1" COLOR="#000000" FACE="Arial" > (if more than one property, please complete one form for each property)</FONT></div> <div> Street address:     </div> <input type="text" name="textfield" size="75"> <div> City, State, Zip:     </div> <input type="text" name="textfield2" size="75"> <h4> <div> <B>2. Type of Property:</B><FONT SIZE="1" COLOR="#000000" FACE="Arial" > (check one of the four boxes below)</FONT></div> <FONT face="Arial, Helvetica"><FONT size=1> <bR> <input type="radio" name="typeprop" value="radiobutton">Single Family Residence <bR> <input type="radio" name="typeprop" value="radiobutton">Multiple Family Residence <bR> <input type="radio" name="typeprop" value="radiobutton">Mobile Home (you own and rent space and moble home) <bR> <input type="radio" name="typeprop" value="radiobutton">Mobile Home Park or Recreational Vehicle Park (you own and rent spaces) <h4> <div> <B>3. Tax Number:</B></div> <div> 3a. Property Tax Identification Number (also known as parcel number)     </div> <input type="text" name="textfield3"> <bR> <div> 3b. Assessment Account Number (for unsecured mobile homes)     </div> <input type="text" name="textfield4"> <h4> <div> <B>4. Year property was built </B><FONT SIZE="1" COLOR="#000000" FACE="Arial" >(or manufactured, for mobile homes):     </FONT></div> <input type="text" name="textfield5"> </h4> <div> <B>5. Property Owner</B><FONT SIZE="1" COLOR="#000000" FACE="Arial" > (check one box and complete blocks "a" through "i," below)</FONT></div> <FONT face="Arial, Helvetica"><FONT size=1> <bR> <input type="radio" name="prop_owner" value="radiobutton">Individual <bR> <input type="radio" name="prop_owner" value="radiobutton">Corporation (list a corporate officer below) <bR> <input type="radio" name="prop_owner" value="radiobutton">Limited Liability Company (list managing member below) <bR> <input type="radio" name="prop_owner" value="radiobutton">Limited Partnership (list a general partner below) <bR> <input type="radio" name="prop_owner" value="radiobutton">General Partnership (list general partner below) <bR> <input type="radio" name="prop_owner" value="radiobutton">Trust (list trustee below) <bR> <input type="radio" name="prop_owner" value="radiobutton">Real Estate Investment Trust (list a general partner or an officer below) <bR> <input type="radio" name="prop_owner" value="radiobutton">Other ______________________________________________________ <bR> <div> a. Property Owner's Name     </div> <input type="text" name="textfield6" size="75"> <div> b. Owner's Mailing Address    </div> <input type="text" name="textfield62" size="75"> <div> c. Phone 1 </div> <input type="text" name="textfield63" size="75"> <div> d. Phone 2     </div> <input type="text" name="textfield64" size="75"> <div> e. Fax     </div> <input type="text" name="textfield65" size="50"> <div> f. General Partner/Officer/Trustee     </div> <input type="text" name="textfield66" size="75"> <div> g. Person to Contact </div> <input type="text" name="textfield67" size="75"> <div> h. Contact's Phone     </div> <input type="text" name="textfield68" size="50"> <div> i. Contact's E-Mail     </div> <input type="text" name="textfield69" size="75"> <h4> <div> <B>6. Property Manager</B><FONT SIZE="1" COLOR="#000000" FACE="Arial" > (if applicable) </FONT></div> <div>  Name:    </div> <input type="text" name="textfield692" size="75"> <div>  Phone:     </div> <input type="text" name="textfield693" size="75"> <div> Street Address:     </div> <input type="text" name="textfield694" size="75"> <div> City, State, Zip:     </div> <input type="text" name="textfield695" size="75"> <div> <B>NOTE: Under penalty of law, the owner of Arizona residential rental property must update any information listed above within ten days after a change in the information. A.R.S. Section 33-1902(A). </B></div> </h5> <div> <B>The owner wants all notices and court documents to be sent via (chose one, two or all three):</B></div> <input type="radio" name="radiobutton1" value="radiobutton">Certified Mail <input type="radio" name="radiobutton2" value="radiobutton">Regular Mail <input type="radio" name="radiobutton3" value="radiobutton">Fax <bR> <div> Mail to:    </div> <input type="text" name="textfield7" size="75"> <div> Fax to:     </div> <input type="text" name="textfield72" size="75"> <h4> </form> <div> <B>FEE SCHEDULE:</B> The fee is only $55.00 per year (plus $10.00 per property for owners of two or more properties) and renewed automatically each year until canceled, plus $5.00 for each notice received and forwarded (if any) and $10.00 for each court document received and forwarded (if any). Copying charges, long distance telephone charges, postage and other expenses (if any) will be periodically billed to the owner's account.   </div> <bR> <div> I appoint Carlton C. Casler, of the Casler Law Office, PLLC, as Statutory Agent for the property listed above.  I represent to the Casler Law Office that the foregoing information is accurate and that I have the authority to provide this information and to execute this form. I will update this information within ten days of any changes. I understand and agree that the owner of the property (listed in paragraph 5, above) will be billed an annual fee by the Casler Law Office for Statutory Agent services on January 1 of each year (bills will be sent out in advance and may be paid before the end of the year or by January 15, whichever is financially more advantageous for the owner) and that a late fee of twenty dollars plus eighteen percent interest will charged to all accounts that are not paid by January 15 and that the Casler Law Office may resign as the Statutory Agent if payment is not received by February 28. The owner agrees to pay the annual fee, per item fees (stated above), and all other charges stated herein. In the event of nonpayment, owner agrees that adverse credit information may be sent to local and national credit reporting agencies and agrees to pay for attorney's fees, litigation expenses and court costs incurred to collect sums due hereunder or to enforce the terms hereof. </div> <bR> <DIV ALIGN="LEFT"></DIV> <div> ______________________________________________________________</div> <div> Name (print)                         Signature                             Title                         Date</div> <div> <B> <img src="HTMLobj-18/aniGif.gif" border="0" align="bottom" width="133" height="100">  </B></div> <div> <B>Don't forget to sign the Appointment of Statutory Agent form.</B></div> <bR> <div> <B>MAIL to:</B> Casler Law Office 14140 West McDowell Road, Suite B-101, Goodyear, Arizona 85395</div> <div> or </div> <div> <B>FAX to:</B> (602) 255-0431</div> <div> (only when paying by credit card; fax form above and "Charge Authorization" below)</div> <bR> <div> <B>TO PRINT THESE FORMS</B>: right click your mouse and select print; or from the menu bar, click on File/Print; or click the print icon on your menu bar.  <B>Because a signature is required to authorize the appointment of a statutory agent, this form cannot be submitted online.</B></div> <bR> <head><title>Untitled Document</title><meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1"></head><form method="post" action="" name="casler"> <h4> <bR> <center>CHARGE AUTHORIZATION <div> ____________________________________________________________________________________</div> <div> I authorize a $_____________ charge to the following charge card:   </div> <bR> <input type="radio" name="Chargecard" value="radiobutton">MasterCard <input type="radio" name="Chargecard" value="radiobutton">Visa <input type="radio" name="Chargecard" value="radiobutton">Discover <input type="radio" name="Chargecard" value="radiobutton">American Express <div> Print name as it appears on credit card</div> <input type="text" name="textfield8" size="50"> <div> Account Number:     </div> <input type="text" name="textfield8" size="50"> <div> Expiration Date:     </div> <input type="text" name="textfield82" size="10"> <bR> <div> Signature: ________________________________________________________  Date: __________________________  </div> <div> ________________________________________________________________________________________________</div> <div>  (end of charge authorization) </div> </form> <DIV ALIGN="LEFT"></DIV> <div> <B> <img src="HTMLobj-19/aniGif.gif" border="0" align="bottom" width="133" height="100">  </B></div> <bR> <div> <B>Don't forget to sign your charge authorization.</B></div> <bR> <bR> <bR> <bR> <bR> <div> <A HREF="index.htm" TARGET="_top" TITLE="Casler Law Office"> <img src="HTMLobj-80/aniGif.gif" border="0" align="bottom" width="80" height="80">  </A></div> <bR> </td> </tr><tr> <td valign="top" colspan=2 height=109 style=" border-top: 1px solid #990000;" BGCOLOR="#FFFFFF" TEXT="#080000"> <div>            </div> <DIV ALIGN="LEFT"></DIV> <div> <B>Casler Law Office, PLLC</B></div> <div> <B>602-255-0101</B></div> <bR> </td> </tr></table></body>