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Certificate Of Resignation Of Resident Agent - Massachusetts

Certificate Of Resignation Of Resident Agent Form. This is a Massachusetts form and can be used in Nonprofit Corporations Corporations Division Secretary Of State .
 Fillable pdf Last Modified 9/12/2003
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C.11 FEDERAL IDENTIFICATION NO. ______________________ Fee: $10.00 The Commonwealth of Massachusetts William Francis Galvin Secretary of the Commonwealth One Ashburton Place, Boston, Massachusetts 02108-1512 CERTIFICATE OF RESIGNATION OF RESIDENT AGENT (General Laws, Chapter 180, Section 10C) I, ___________________________________________________________________________________________, Resident Agent, (Exact name of resident agent) located at__________________________________________________________________________________________________, (Business address of resident agent) certify as follows: 1. That I have resigned as resident agent of_____________________________________________________________________ (Exact name of corporation) having a principal office at___________________________________________________________________________________. (Street address of corporation in Massachusetts) 2. *The effective date of such resignation will be____________________________, 20 ________. 3. I have mailed a copy of this certificate, postage prepaid, to said corporation at its principal office in Massachusetts as currently noted in the records of the Secretary of the Commonwealth, or because that office is also my office, to the address furnished to me by the corporation as the place where copies of all processes served upon me are to be forwarded. SIGNED UNDER THE PENALTIES OF PERJURY, this___________day of _______________________________, 20 _________, ____________________________________________________________________________________________, Resident Agent. *The effective date of resignation must not be earlier than 30 days after the filing of this certificate. 180crra 4/5/00<<<<<<<<<********>>>>>>>>>>>>> 2 THE COMMONWEALTH OF MASSACHUSETTSCERTIFICATE OF RESIGNATION OF RESIDENT AGENT (General Laws, Chapter 180, Section 10C) I hereby approve the within Certificate of Resignation 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__________d a y of __________________, 20 ______ . WILLIAM FRANCIS GALVIN Secretary of the Commonwealth
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