Resignation Of Registered Agent And Discontinuance Of Registered Office Of A South Carolina Or Foreign Corporation Form - South Carolina Secretary Of State

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STATE OF SOUTH CAROLINA
SECRETARY OF STATE
RESIGNATION OF REGISTERED AGENT AND
DISCONTINUANCE OF REGISTERED OFFICE
OF A SOUTH CAROLINA OR
FOREIGN CORPORATION
PLEASE TYPE OR PRINT IN BLACK INK
Pursuant to Sections 33-5-103 and 33-15-109 of the South Carolina Code of Laws, as amended, the
undersigned hereby submits the following:
1.
The name of the Corporation that is affected by this document is
The date of Incorporation is_____________________________
2. [ ]
That the undersigned resigns as the registered agent of the above named corporation effective
st
the 31
day after the date on which this document is filed in the Office of the Secretary of State.
3. [ ]
That the above named corporation's registered office, which is the business office of the
st
registered agent, is discontinued, effective the 31
day after the date on which this document is
filed in the Office of the Secretary of State.
Date: _____________________
______________________________________
Signature
______________________________________
Type or Print Name
FILING INSTRUCTIONS
1.
Three copies of this document, the original and either two duplicate originals or two conformed copies must be filed.
2.
Filing fee (payable to the Secretary of State at the time of filing this document):
Agent's Statement of Resignation
$ 3.00
Discontinuance of Registered Office
2.00
Total
$ 5.00
Return to: Secretary of State
1205 Pendleton Street Suite 525
Columbia, SC 29201
Form Revised by South Carolina
FRN-RESIGNATION OF REGISTERED AGENT.doc
Secretary of State, April 2011

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