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Statement Of Cancellation - Nevada

Statement Of Cancellation Form. This is a Nevada form and can be used in General Business Secretary Of State .
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ROSS MILLER Secretary of State 204 North Carson Street, Ste 1 Carson City, Nevada 89701-4299 (775) 684 5708 Website: www.nvsos.gov Statement of Cancellation by Nonfiling Domestic and Nonqualified Foreign Entities (PURSUANT TO NRS 77.380) USE BLACK INK ONLY - DO NOT HIGHLIGHT ABOVE SPACE IS FOR OFFICE USE ONLY 1. Name of Entity: 2. File Number: 3. This entity is canceling its appointment of the following registered agent as agent for service of process in Nevada: 4. Signature: X Authorized Signature of Nonfiling Entity Date FEE: $50.00 This form must be accompanied by appropriate fees. Nevada Secretary of State Form RA Misc Cancellation Effective 7-1-08 American LegalNet, Inc. www.FormsWorkflow.com
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