Form Scc636/835 - Statement Of Resignation Of Registered Agent Page 2

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INSTRUCTIONS TO FORM SCC636/835
The statement must be in the English language, typewritten or printed in black, legible and
reproducible. The document must be presented on uniformly white, opaque paper, free of visible
watermarks and background logos.
This statement can be completed and filed electronically through SCC eFile at
https://sccefile.scc.virginia.gov/.
If the registered agent is a business entity, the statement must be executed in the name of the
business entity by a person authorized to act on behalf of the registered agent, and the printed name
and title of the person signing on behalf of the registered agent must be set forth next to the signature.
It is a Class 1 misdemeanor for any person to sign a document he or she knows is false in
any material respect with intent that the document be delivered to the Commission for filing.
See § 13.1-612 or 13.1-811 of the Code of Virginia.
Send the original, signed statement to the Clerk of the State Corporation Commission, P. O. Box
st
1197, Richmond, Virginia 23218-1197, (Street address: 1300 East Main St., Tyler Building, 1
floor,
Richmond, VA 23219). If you have any questions, please call (804) 371-9733 or toll-free in Virginia,
(866) 722-2551.
NOTE
The agency appointment will be terminated and if so provided, the registered office discontinued, on
the 31st day after the date on which the statement is filed with the Commission. See § 13.1-636,
13.1-765, 13.1-835 or 13.1-927 of the Code of Virginia.

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