TO: Registration Section Division of Corporations
(Name of Limited Liability Company)
The enclosed member, managing member or manager resignation and fee(s) are submitted for filing. Please return all correspondence concerning this matter to:
(City/State and Zip Code)
For further information concerning this matter, please call:
at ( ) (Area Code & Daytime Telephone Number)
(Name of Contact Person)
Enclosed please find a check made payable to the Florida Department of State for: $25 Filing Fee $55 Filing Fee & Certified Copy STREET/COURIER ADDRESS: Registration Section Division of Corporations Clifton Building 2661 Executive Center Circle Tallahassee, Florida 32301
MAILING ADDRESS: Registration Section Division of Corporations P.O. Box 6327 Tallahassee, Florida 32314
FLORIDA DEPARTMENT OF STATE DIVISION OF CORPORATIONS
RESIGNATION OF MEMBER, MANAGING MEMBER OR MANAGER FROM FLORIDA OR FOREIGN LIMITED LIABILITY COMPANY
1. The name of the limited liability company as it appears on the records of the Florida Department of State is: .
2. This limited liability company was organized under the laws of: .
3. The Florida document/registration number of this limited liability company is: . 4. I,
(Print Name of Person Resigning)
, hereby resign as a
of this limited liability company and affirm the limited liability company has been notified of my resignation in writing.
Signature of Resigning Member, Managing Member or Manager
Filing Fee: Certified Copy:
$25.00 (Required) $30.00 (Optional)