Form Ar: 0011 - Statement Of Resignation Of Statutory Agent printable pdf download

Form Ar: 0011 - Statement Of Resignation Of Statutory Agent

STATEMENT OF RESIGNATION OF

STATUTORY AGENT

_______________________________________________

IMPORTANT! You must evaluate both items. Check those that apply.

The undersigned statutory agent of ______________________________________________,

an Arizona corporation, or

a foreign corporation qualified to do business in Arizona, hereby

resign my appointment as agent.

The known place of business, currently the street address of the undersigned, is also

discontinued.

The undersigned has given notice of this resignation to the Corporation by mailing one copy to the

Corporation at the following address:

________________________________________________________________

This resignation shall be effective on the thirty-first day after the date on which this statement is

delivered to the Arizona Corporation Commission for filing.

DATED this ____ day of ____________________, _____.

Signed__________________________________

__________________________________

[Print Name]

This form must be accompanied by a filing fee of $10.00 (U.S.) made payable and delivered to:

ARIZONA CORPORATION COMMISSION

Corporations Division

1300 West Washington

400 West Congress

Phoenix, Arizona 85007-2929

Tucson, Arizona 85701-1347

AR: 0011

Rev: 10/2000

Form Ar: 0011 - Statement Of Resignation Of Statutory Agent