Prepare, sign, submit with an original signature and filing fee
STATE OF MONTANA
This is the minimum information required
(This space for use by the Secretary of State only)
COMMERCIAL REGISTERED AGENT
Secretary of State
P.O. Box 202801
Helena, MT 59620-2801
No Required Filing Fee
24 Hour Priority Handling check box & Add $ 20.00
1 Hour Expedite Handling check box & Add $100.00
A commercial registered agent by filing this form with the Montana Secretary of State terminates its listing as a
commercial registered agent in accordance with
1. The exact name of the Commercial Registered Agent:
(The above named entity/individual is in the business of serving as a commercial registered agent in the state of
2. The agent is no longer in the business of serving as a commercial registered agent in the State of Montana.
3. The commercial registered agent shall promptly furnish each entity represented by it with notice in a record of
the filing of the commercial registered agent termination statement.
4. A commercial registered agent termination statement takes effect on the 31
day after the day on which the
statement was filed with the Secretary of State’s Office.
5. By my signature, I, as a Commercial Registered Agent, do state that I signed this statement and that the
statements contained therein are true.
Signature of Commercial Registered Agent or Representative
Printed Name and Title of above Authorized Person
Daytime Contact: Phone_________________________ Email___________________________________________