Resignation Of Registered Agent And Discontinuance Of Registered Office {F0067 F0068}

Form Revised by South Carolina Secretary of State, August 2016 F0067 /F0068 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 CLEARLY IN BLACK INK Pursuant to Section s 33 - 5 - 103 and 33 - 15 - 109 of the 1976 S.C. Code of Laws, as amended, the undersigned hereby submits the following: 1. The n ame of the Corporation that is affected by this document is : The date of i ncorporation is : 2 . That the undersigned resigns as the registered agent of the above named corporation effective the 31 st day after the date on which this document is filed in the Office of the Secretary of State. 3. registered agent, is discontinued, effective the 31 st day after the date on which this document is filed in the Office of the Secretary of State. Date: (Signature) (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): $3.00 Disco ntinuance of Registered Office $2.00 Total $5.00 Return to: Secretary of State Attn: Corporate Filings 1205 Pendleton Street, Suite 525 Columbia, SC 29201 American LegalNet, Inc. www.FormsWorkFlow.com