Registered Agent Notice Of Resignation Form- Department Of Community And Economic Development

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State of Alaska
Department of Community and Economic Development
Division of Banking, Securities, and Corporations
CORPORATION SECTION
PO Box 110808
Juneau AK 99811-0808
REGISTERED AGENT NOTICE OF RESIGNATION
Pursuant to the provisions of Alaska statutes, I hereby give notice of my resignation as registered agent for:
1. Name of Corporation:
Alaska Entity #:
I understand that the effective date of the resignation is thirty days after the receipt of this notice, unless the
entity sooner appoints a successor agent.
2. The latest address of the principal office of the organization best known to me is:
Mailing Address:
Physical Address if Mailing
Address is a Post Office
Box:
City:
AK
ZIP Code:
3. The names, addresses and titles of the most recent members, partners, or corporate officers known
to me are:
Title
Name
Mailing Address (City, State, ZIP Code)
Signature Resigning Registered Agent
Printed Name
Date
If you have specific legal questions or concerns about this filing, you are strongly advised to consult an
attorney or other professional to assist you. There are no fees associated with this filing. Mail the
completed filing to:
State of Alaska
Corporations Section
PO Box 110808
Juneau, AK 99811
For additional information or forms please visit our web site at:

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