Form Bcs/cd-521 - Resignation Of Resident Agent
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2BCS/CD-521 (Rev. 4/09)
MICHIGAN DEPARTMENT OF ENERGY, LABOR & ECONOMIC GROWTH
BUREAU OF COMMERCIAL SERVICES
Date Received
(FOR BUREAU USE ONLY)
This document is effective on the date filed, unless
a subsequent effective date within 90 days after
received date is stated in the document.
Name
Address
City
State
Zip Code
EFFECTIVE DATE:
Document will be returned to the name and address you enter above.
Ç
È
If left blank document will be mailed to the registered office.
RESIGNATION OF RESIDENT AGENT
For use by resident agents of Corporations, Limited Partnerships and Limited Liability Companies
(Please read information and instructions on reverse side)
Pursuant to the provisions of Act 284, Public Acts of 1972 (profit corporations), Act 162, Public Acts of 1982 (nonprofit
corporations), Act 213, Public Acts of 1982 (limited partnerships), or Act 23, Public Acts of 1993 (limited liability
companies), the undersigned executes the following Certificate:
1. The identification number assigned by the Bureau is:
2. I, ___________________________________________________________________, appointed as resident agent
(Name of Resident Agent)
for __________________________________________________________________________________________
(Name of Corporation, Limited Partnership, or Limited Liability Company)
tender my resignation as resident agent for said corporation, limited partnership, or limited liability company.
A written notice of this resignation has been filed with the president or a vice-president of the corporation, a general partner
of the limited partnership, or a member or manager of the limited liability company as provided by law.
Signed this ____________ day of _________________________, _____________
By_______________________________________________________________
(Signature of Resigning Resident Agent)
__________________________________________________________________
(Type or Print Name)
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