Form Ss-4227 - Form For Resignation Of Registered Agent Of A Limited Liability Company - Tennessee

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For Office Use Only
RESIGNATION OF REGISTERED AGENT
OF A LIMITED LIABILITY COMPANY
Corporate Filings
312 Eighth Avenue North
6 th Floor, William R. Snodgrass Tower
Nashville, TN 37243
Pursuant to the provisions of § 48-208-103 of the Tennessee Limited Liability Act, the undersigned
hereby submits this statement:
1. The name of the Limited Liability Company is:
2. I hereby resign as the registered agent for the above-named Limited Liability Company.
o
3.
The registered office the Limited Liability Company is hereby discontinued.
o
The registered office of the Limited Liability Company is continued.
NOTE: Please check the applicable box in #3.
4. A copy of this notice has been mailed by certified mail to the principal office of the Limited Liability
Company.
5. The resignation will be effective on the date it is filed by the Secretary of State.
Signature Date
Signature
Signer’s Capacity
Name (typed or printed)
SS-4227 (Rev. 3/99)
RDA 2458

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