Form 08-410 - Registered Agent Notice Of Resignation Form - Division Of Corporations, Business And Professional Licensing

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State of Alaska
DO NOT STAMP ABOVE THIS BOX
Division of Corporations, Business and Professional Licensing
CORP
Office Use Only
CORPORATIONS SECTION
PO Box 110806
Juneau, AK 99811-0806
Phone: (907) 465-2550
Fax: (907) 465-2974
Website:
REGISTERED AGENT NOTICE OF RESIGNATION
All Entity Types
AS 10.06.170, 10.15.030, 10.20.041, 10.25.490,
10.45.240, 10.50.063
$25.00 Filing Fee (non-refundable)
Pursuant to Alaska Statutes 10.06.170, 10.15.030, 10.20.041, 10.25.490, 10.45.240, or 10.50.063, I hereby
give my notice of resignation as registered agent for:
ITEM 1: Name of the Entity:
Alaska Entity #:
ITEM 2: The latest address of the entity’s principal office known to me is:
Physical address:
Mailing address:
ITEM 3: The names, addresses, and titles of the most recent officials known to me are:
Title
Name
Mailing address
City
State ZIP code
Attach an additional sheet if necessary.
ITEM 4: I understand that the effective date of the resignation is thirty (30) days after the receipt of this notice
unless the entity appoints a successor agent within those thirty days.
Signature of Registered Agent
Printed Name
Name of corp. signatory represents
Date
Mail the Notice of Resignation and the non-refundable $25.00 filing fee in U.S. dollars to:
State of Alaska, Corporations Section, PO Box 110806, Juneau, AK 99811-0806
STANDARD PROCESSING TIME for complete and correct applications submitted to this office is
approximately 10-15 business days. All applications are reviewed in the date order they are received.
08-410 (Rev. 02/01/2012)
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