Form 521 - Filing Form Cover Letter Page 7

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For a domestic for-profit corporation, partnership, limited partnership, limited liability company and
business trust, thirty days after the filing of this form, the authority of the agent will terminate. For a
domestic nonprofit corporation or a foreign corporation, sixty days after the filing of this form, the authority
of the agent will terminate.
Additional Provisions
If the information you wish to provide for the record does not fit on the form, please attach additional
provisions on a single-sided, 8 1/2 x 11 sheet(s) of paper.
Signature(s)
After completing all information on the filing form, please make sure to sign the form. If the entity is
a domestic corporation, the form must be signed by the incorporators or a corporate officer. If the entity is
a foreign corporation, the form must be signed by an authorized representative. If the entity is a domestic
or foreign limited partnership, the form must be signed by an officer, all of the general partners or a
majority of the general partners. If the entity is a domestic or foreign limited liability company, the form
must be signed by a member, manager or an authorized representative. If the entity is a business trust,
an authorized representative must sign. If the form is used for an agent's resignation, the resigning agent
must sign the form.
**Note: Our office cannot file or record a document that contains a social security number or
tax identifications number. Please do not enter a social security number or tax identification
number, in any format, on this form.
Form 521
Last Revised: 05/14/2014
Page 7 of 7

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