Filing Fee $35.00
DOMESTIC
BUSINESS CORPORATION
STATE OF MAINE
NOTICE OF
_____________________
RESIGNATION OF CLERK
Deputy Secretary of State
A True Copy When Attested By Signature
_____________________
______________________________________
Deputy Secretary of State
(Name of Corporation)
Pursuant to
13-C MRSA
§501.5, the undersigned clerk executes and delivers the following Notice of Resignation of Clerk:
*A copy of the notice of resignation has been mailed to ________________________________________________________________
(insert name)
at ___________________________________________________________________________________________________________
(mailing address including zip code)
the _______________________________________________________________________________________ of the corporation.
(title of corporate officer)
DATED _________________________
__________________________________________________
(signature of clerk)
__________________________________________________
(type or print name)
*A copy of the resignation notice must be mailed to:
(1) an officer of the corporation OR
(2) if there are no officers, to any of its directors OR
(3) if there are no directors, to any of its shareholders.
The name of the person to whom the copy is mailed and the corporate office held must be specified in the notice filed.
Please remit your payment made payable to the Maine Secretary of State.
SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MBCA-3A 7/1/2005
TEL. (207) 624-7752