Form Dos-1373 - Certificate Of Registration For Receipt Of Process
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1
2New York State
Department of State
Division of Corporations, State Records and Uniform Commercial Code
One Commerce Plaza, 99 Washington Avenue
Albany, NY 12231
CERTIFICATE OF RESIGNATION
FOR RECEIPT OF PROCESS OF
(Insert Name of Limited Liability Company)
Under Section 301-A of the Limited Liability Company Law
FIRST:
The name of the limited liability company is:
FOREIGN ENTITIES ONLY. If applicable, the fictitious name the limited liability company
agreed to use in New York State is:
SECOND:
The
articles of organization/
application for authority was filed in
[check one]
the Department of State on:
THIRD:
The undersigned is the party whose address has been designated by the limited
liability company as the address to which the Secretary of State shall mail a copy of any process
served upon the Secretary of State as agent of the limited liability company. This party wishes to
resign. The address for service of process, as designated by the limited liability company, is:
FOURTH:
[check one]
The limited liability company has a registered agent, but this party is not the registered agent
of the limited liability company. Sixty days prior to the filing of this certificate of resignation,
this party sent a copy of the certificate of resignation for receipt of process by registered or
certified mail to
the address of the registered agent of the limited liability company.
The limited liability company has no registered agent. Sixty days prior to the filing of this
certificate of resignation, this party sent a copy of the certificate of resignation for receipt of
process by registered or certified mail to
the last address of the limited liability company known to this party.
The limited liability company has no registered agent and no address of the limited liability
company is known to this party. Attached to this certificate is the affidavit of this party
stating that a diligent, but unsuccessful, search was made to locate the limited liability
company, specifying what efforts were made.
-1-
DOS-1373 (Rev. 5/08)
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