EFTA00169578



FORM - RACA12


THE UNITED STATES VIRGIN ISLANDS

OFFICE OF THE LIEUTENANT GOVERNOR
DIVISION OF CORPORATIONS AND TRADEMARKS

DATE STAMPED
COPY

# RESIDENT AGENT FORM
CONSENT OF AGENT FOR SERVICE OF PROCESS

This writing witnesseth that I, the undersigned Business Basics VI, LLC

having been designated by Southern Financial, LLC

as resident agent of said company, upon whom service of process may be made in all suits

arising against said company in the Courts of the United States Virgin Islands, do hereby consent

In act as such agent and that service of process may be made upon me in accordance with Title 13, Virgin Islands Code.

IN WITNESS WHEREOF, I have hereunto set my signature this 25th day of February 2013

I RECLARE, UNDER TENALITY OF PERJURY, UNDER THE LAWS OF THE UNITED STATES VIRGIN ISLANDS, THAT ALL STATEMENTS CONTAINED IN THIS APPLICATION, AND ANY ACCOMPANYING DOCUMENTS, ARE TRUE AND CORRECT, WITH FULL KNOWLEDGE THAT ALL STATEMENTS MADE IN THIS APPLICATION ARE SUBJECT TO INVESTIGATION AND THAT ANY FALSE OR DISHONEST ANSWER TO ANY QUESTION MAY BE GROUNDS FOR DENIAL OR SUBSEQUENT REVOitation OF REGISTRATION.

SIGNATURE OF RESIDENTAGENT

DAYTIME CONTACT NUMBER

MAILING ADDRESS

PHYSICAL ADDRESS



9100 Port of Sale Mall, Ste 15, St. Thomas, VP00802

9100 Port of Sale Mall, Ste 15, St. Thomas, VI 00802



EMAIL ADDRESS

## NOTARY ACKNOWLEDGEMENT

Subscribed and sworn to before me this day of ___ at ___



Si invamos



Brett A. Geary

Notary Public NP-124-11

St. Thomas / St. John, USVI

My Commission Expires: December 21, 2013

My Commission Expires

CONFIDENTIAL – PURSUANT TO FED. R. CRIM. P. 6(e)



USAO_001942
DB-SDNY-0000982
EFTA_00019852