Form No. Mbca-3a-Ncra - Statement Of Resignation - Maine Secretary Of State, Filer Contact Cover Letter

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Filing Fee $35.00
DOMESTIC
BUSINESS CORPORATION
STATE OF MAINE
NONCOMMERCIAL CLERK
_____________________
STATEMENT OF RESIGNATION
Deputy Secretary of State
A True Copy When Attested By Signature
______________________________________
_____________________
Deputy Secretary of State
(Name of Corporation as it appears on the records of the Secretary of State)
Pursuant to
5 MRSA
§111, the undersigned noncommercial clerk executes and delivers the following statement of resignation from
serving as agent for service of process for this corporation:
FIRST:
The name and address of the resigning noncommercial clerk as it appears on the record in the Secretary of
State's office:
_______________________________________________________________________________________________
(name of current noncommercial clerk)
_______________________________________________________________________________________________
(physical street address, city, state and zip code – as it appears on the record)
SECOND:
The name and address of the person to which the noncommercial clerk will send the required notice to:
______________________________________________________________________________________________
(insert name)
at_____________________________________________________________________________________________
(mailing address including zip code)
the ________________________________________________________________ of the corporation.
(title of corporate officer)
DATED _________________________
__________________________________________________
(signature of noncommercial clerk)
__________________________________________________
(type or print name)
Pursuant to
5 MRSA
§111.3, the clerk shall promptly furnish the represented entity notice in a record of the date on which a statement of
resignation was filed.
Please remit your payment made payable to the Maine Secretary of State.
Submit completed form to:
Secretary of State
Division of Corporations, UCC and Commissions
101 State House Station, Augusta, ME 04333-0101
Telephone Inquiries: (207) 624-7752
Email Inquiries:
CEC.Corporations@Maine.gov
Form No. MBCA-3A-NCRA 7/1/2008

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