Certificate Of Revocation Of Appointment Of Resident Agent Form - The Commonwealth Of Massachusetts Page 2

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THE COMMONWEALTH OF MASSACHUSETTS
CERTIFICATE OF REVOCATION OF APPOINTMENT OF RESIDENT AGENT
(General Laws, Chapter 180, Section 10C)
I hereby approve the within Certificate of Revocation of Appointment
of Resident Agent and, the filing fee in the amount of $ ________________
having been paid, said certificate is deemed to have been filed with me
this _________day of ___________________, 20______ .
WILLIAM FRANCIS GALVIN
Secretary of the Commonwealth
TO BE FILLED IN BY CORPORATION
Contact information:
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________
Telephone:
Email: __________________________________________________________
A copy this filing will be available on-line at once the
document is filed.

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