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Form 153-Lag - Notice Of Resignation Of Agent (For Limited Liability Companies) Form

J. Kenneth Blackwell

Prescribed by

Please obtain fee amount and mailing instructions from the Forms

Inventory List (using the 3 digit form # located at the bottom of this

form). To obtain the Forms Inventory List or for assistance, please

call Customer Service:

Central Ohio: (614)-466-3910 Toll Free: 1-877-SOS-FILE (1-877-767-3453)

NOTICE OF RESIGNATION OF AGENT

(for limited liability companies)

having an address of

(name of agent)

(street address)

(city, township, or village)

(state)

(zip code)

heretofore appointed as agent for

(name of limited liability company)

(registration #)

an Ohio limited liability company,

a foreign limited liability company authorized to do business within the state of Ohio,

tender my resignation as agent for service of process for the above named limited liability company.

Current or last known address of the limited liability company's principal office is:

(street address)

(city, township, or village)

(state)

(zip code)

Further, I hereby acknowledge that a copy of this Notice of Resignation of Agent has been sent to the above named limited liability

company as of the date of filing or prior to the date of filing.

(signature of agent)

(title)

(If the agent is a corporation, please indicate the title of the officer signing this document)

[Ohio Revised Code Section 1705.06(F)]

153-LAG

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Version: 7/15/99

Form 153-Lag - Notice Of Resignation Of Agent (For Limited Liability Companies) Form