Free Certificate of revocation of appointment of resident agent - Massachusetts

C.9

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 REVOCATION OF APPOINTMENT OF RESIDENT AGENT
(General Laws, Chapter 180, Section 10C)

I, ____________________________________________________________________________________ , *Clerk / *Assistant Clerk

of _________________________________________________________________________________________________________ , (Exact name of corporation) having a principal office at ___________________________________________________________________________________ , (Street address of corporation in Massachusetts) certify that pursuant to General Laws, Chapter 180, Section 10C, said corporation has revoked the appointment of:

__________________________________________________________________________________________________________ (Exact name of resident agent) of _________________________________________________________________________________________________________ , (Business address of resident agent) as its resident agent and that the following is a true copy of the vote of the directors revoking such appointment:

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

____________________________________________________________________________________ , *Clerk / *Assistant Clerk.
*Delete the inapplicable words.
180cvara 4/5/00

THE COMMONWEALTH OF MASSACHUSETTS

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

I hereby approve the within Certificate of Revocation of Appointment 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 _______ day of _________________ , 20 _____ .

WILLIAM FRANCIS GALVIN
Secretary of the Commonwealth