Form Llc-1.35 - Resignation Of Registered Agent - 2010
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Illinois
LLC-1.35
FILE #:
Form
Limited Liability Company Act
April 2010
This space for use by Secretary of State.
Resignation of Registered Agent
Secretary of State
Department of Business Services
Limited Liability Division
SUBMIT IN DUPLICATE
501 S. Second St., Rm. 351
Type or print clearly.
Springfield, IL 62756
217-524-8008
This space for use by Secretary of State.
Date:
Make check payable to Secretary of
Filing Fee: $100
State. If check is returned for any
reason this filing will be void.
Approved:
1.
Limited Liability Company Name: __________________________________________________________________
____________________________________________________________________________________________
2.
Registered Agent's Name and Registered Address:
Registered Agent: ______________________________________________________________________________
First Name
Middle Initial
Last Name
Registered Office: ______________________________________________________________________________
Number
Street
Suite #
(P.O. Box alone or
c/o is unacceptable.) ___________________________________________________________________________
City
ZIP Code
3.
Address of the Principal Office of the Limited Liability Company as such is known to the Registered Agent: (P.O. Box
alone or c/o is unacceptable.)
____________________________________________________________________________________________
___________________________________________________________________________________________
4.
Effective Date of Resignation: ____________________ (Not less than 30 days after the date of filing this form. See
Month, Day, Year
Note 1.)
5.
A copy of this notice has been sent to the Principal Office of the Limited Liability Company by registered or certified mail
at least 10 days prior to the date of its filing with the Secretary of State.
6.
The undersigned affirms, under penalties of perjury, that the facts stated herein are true.
Dated ______________________________, _______.
Month/Day
Year
By ___________________________________________ By ___________________________________________
Signature of Principal Officer (See Note 2.)
Signature of Registered Agent (See Note 3.)
___________________________________________
___________________________________________
Name (type or print)
Name (type or print)
NOTE:
1. Add additional time if mailing the form.
2. If registered agent is an individual, this notice shall be signed by the registered agent.
3. If registered agent is a corporation, this notice shall be signed by a principal officer.
Printed by authority of the State of Illinois. June 2010 — 500 — LLC 14.5
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