FILING INSTRUCTIONS
STATEMENT OF RESIGNATION OF REGISTERED AGENT
NAME
Use the exact name of the business entity as registered on file with the Office of the Secretary of State.
PRINCIPAL OFFICE ADDRESS
The principal office is the office (in or out of this state) so designated in writing with the Office of the Secretary of State where the
principal designated office of the business entity is located. This address is where all correspondence from the Office of the Secretary
of State (See Document Delivery) will be mailed.
DOCUMENT DELIVERY
A file stamped postcard will be sent to the principal office address. If the applicant wishes for the document to be sent to an alternate
address other than the principal office, a request must be submitted in writing affirming that request. Alternate address requests must
be submitted with each document filed with the Office of the Secretary of State.
DELAYED EFFECTIVE DATE AND TIME
The document will be effective on the date and time of filing, unless a delayed effective date and/or time is specified. The effective date
th
or the delayed effective date cannot be prior to the date the application is filed. A delayed effective date may not be later than the 90
day after the date of filing.
WHO MAY SIGN
The document must be signed by the registered agent.
NUMBER OF COPIES
If filing via mail or in person, one exact or conformed copy of the documents with the filing fee must be submitted to the ad dress below.
To make a copy of the filing for delivery to the local county clerk’s office, visit and print a copy from the organization
search tool.
FILING FEE
There is no filing fee for filing this document.
MAILING ADDRESS
OFFICE LOCATION
Alison Lundergan Grimes
Room 154, Capitol Building
Office of the Secretary of State
700 Capital Avenue
P.O. Box 718
Frankfort, KY 40601
Frankfort, KY 40602-0718
Hours of Operation: 8:00 AM-4:30 PM ET
CONTACT INFORMATION
If you have any questions, please feel free to visit our website at or call 502-564-3490.
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