Statement Of Resignation Of Registered Agent - Wyoming Secretary Of State
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1Ed Murray
Wyoming Secretary of State
2020 Carey Avenue, Suite 700
Cheyenne, WY 82002-0020
For Office Use Only
Ph. 307.777.7311
Fax 307.777.5339
Email:
Business@wyo.gov
Statement of Resignation of Registered Agent
1. This change affects every entity that I represent.
OR
This change affects only the entities on the attached list.
(If attaching a list of business entities do not list more than 25 entities per filing. )
2. I,
, hereby resign my agency appointment as the
registered agent for the entities listed on the attached list.
3. I hereby certify that notice of my resignation was sent on
to an officer or controlling
(Date – mm/dd/yyyy)
member of the business entities to its last known address thirty (30) days prior to the filing of this statement with the
Wyoming Secretary of State.
4. The resignation is effective immediately upon filing of this statement with the Wyoming Secretary of State.
5. If the registered office address is currently on file as the mailing and/or principal office address, a separate notice
must be provided to change the mailing and/or principal office address to the last known address.
Signature: ___________________________________________
Date:
(Shall be executed by a person authorized by the registered agent.)
(mm/dd/yyyy)
Print Name:
Contact Person:
Title:
Daytime Phone Number:
Email:
(Email provided will receive filing evidence.)
*May list multiple email addresses
Checklist
No Filing Fee
Please submit one originally signed document.
Please review form prior to submitting to the Secretary of State to ensure all areas have been
completed to avoid a delay in the processing of your documents.
RAResignation – Revised October 2015
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