Free Certificate of resignation of resident agent - Massachusetts

C.11

FEDERAL IDENTIFICATION NO. ______________________

Fee: $10.00

The Commonwealth of Massachusetts
William Francis Galvin Secretary of the Commonwealth One Ashburton Place, Boston, Massachusetts 02108-1512

CERTIFICATE OF RESIGNATION OF RESIDENT AGENT
(General Laws, Chapter 180, Section 10C)

I, ___________________________________________________________________________________________ , Resident Agent, (Exact name of resident agent) located at __________________________________________________________________________________________________ , (Business address of resident agent) certify as follows: 1. That I have resigned as resident agent of _____________________________________________________________________ (Exact name of corporation) having a principal office at ___________________________________________________________________________________ . (Street address of corporation in Massachusetts) 2. *The effective date of such resignation will be ____________________________ , 20 ________ . 3. I have mailed a copy of this certificate, postage prepaid, to said corporation at its principal office in Massachusetts as currently noted in the records of the Secretary of the Commonwealth, or because that office is also my office, to the address furnished to me by the corporation as the place where copies of all processes served upon me are to be forwarded.

SIGNED UNDER THE PENALTIES OF PERJURY, this ___________ day of _______________________________ , 20 _________ ,

____________________________________________________________________________________________ , Resident Agent.
*The effective date of resignation must not be earlier than 30 days after the filing of this certificate.
180crra 4/5/00

THE COMMONWEALTH OF MASSACHUSETTS

CERTIFICATE OF RESIGNATION OF RESIDENT AGENT
(General Laws, Chapter 180, Section 10C)

I hereby approve the within Certificate of Resignation of Resident Agent and, the filing fee in the amount of $ _________ having been paid, said certificate is deemed to have been filed with me this __________ d a y of __________________ , 20 ______ .

WILLIAM FRANCIS GALVIN
Secretary of the Commonwealth