Form 11 F0038 - Statement Of Resignation Of Registered Agent
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311 F0038
OFFICE OF THE SECRETARY OF STATE
P O BOX 136, JACKSON, MS 39205-0136 (601)-359-1633
Statement of Resignation of Registered Agent
1. Type of Company
corporation
nonprofit
limited liability company
limited partnership
limited liability partnership
foreign business trust
domestic
foreign
2. Name of the Company
______________________________________________________________________________
3. Name of the Registered Agent
______________________________________________________________________________
4.
The undersigned hereby resigns as registered agent for above company. The agency
st
appointment is terminated, and the registered office discontinued if so provided, on the 31
day
after the date on which the statement was filed. The undersigned further affirms that the company
has been notified in writing of this resignation.
By: Signature ________________________________________________
Printed Name ________________________________________________
Title ________________________________________________________
There is no fee associated with this form. Mail completed form to SECRETARY OF STATE, PO BOX 136,
JACKSON, MS 39205-0136. For assistance contact a customer service representative at (800) 256-3494. Visit our
website at
for forms and instructions.
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