"Statement of Resignation of Registered Agent" - Massachusetts

Statement of Resignation of Registered Agent is a legal document that was released by the Secretary of the Commonwealth of Massachusetts - a government authority operating within Massachusetts.

Form Details:

  • Released on June 23, 2010;
  • The latest edition currently provided by the Secretary of the Commonwealth of Massachusetts;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Secretary of the Commonwealth of Massachusetts.

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Download "Statement of Resignation of Registered Agent" - Massachusetts

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D F
The Commonwealth of Massachusetts
PC
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512
Statement of Resignation
of Registered Agent
(General Laws Chapter 156D, Section 5.03 and Section 15.09; 950 CMR 113.23)
Name of registered agent:
________________________________________________________________________________
Exact name of corporation:
______________________________________________________________________________
Current registered office address:
__________________________________________________________________________
(number, street, city or town, state, zip code)
The above named registered agent hereby resigns his appointment as registered agent of the corporation.
The registered office address will:
(
Check appropriate box)
also be discontinued.
remain the same.
It is hereby certified that a copy of this statement of resignation shall be furnished to the corporation pursuant to G. L. Chapter
156D, Section 5.03 and Section 15.09.
The appointment is terminated, and the registered office discontinued, if so provided, on the thirty-first day after the
date on which the statement is filed, unless a later effective date not more than 90 days from the date and time of filing is
specified:
____________________________________________________________________________________________
Signed by:
___________________________________________________________________________________________ ,
(signature of registered agent)
on this
___________________________________ day of ______________________________of ____________________ .
c156ds503s1509950c11323 6/23/10
D F
The Commonwealth of Massachusetts
PC
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512
Statement of Resignation
of Registered Agent
(General Laws Chapter 156D, Section 5.03 and Section 15.09; 950 CMR 113.23)
Name of registered agent:
________________________________________________________________________________
Exact name of corporation:
______________________________________________________________________________
Current registered office address:
__________________________________________________________________________
(number, street, city or town, state, zip code)
The above named registered agent hereby resigns his appointment as registered agent of the corporation.
The registered office address will:
(
Check appropriate box)
also be discontinued.
remain the same.
It is hereby certified that a copy of this statement of resignation shall be furnished to the corporation pursuant to G. L. Chapter
156D, Section 5.03 and Section 15.09.
The appointment is terminated, and the registered office discontinued, if so provided, on the thirty-first day after the
date on which the statement is filed, unless a later effective date not more than 90 days from the date and time of filing is
specified:
____________________________________________________________________________________________
Signed by:
___________________________________________________________________________________________ ,
(signature of registered agent)
on this
___________________________________ day of ______________________________of ____________________ .
c156ds503s1509950c11323 6/23/10
COMMONWEALTH OF MASSACHUSETTS
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512
Statement of Resignation
of Registered Agent
(General Laws Chapter 156D, Section 5.03 and
Section 15.09; 950 CMR 113.23)
I hereby certify that upon examination of this statement of resignation, duly
submitted to me, it appears that the provisions of the General Laws relative
to the organization of corporations have been complied with, and I hereby
approve said statement; and the filing fee in the amount of $_____hav-
ing been paid, said statement is deemed to have been filed with me this
_____________ day of _____________, 20______ , at _______a.m./p.m.
time
Effective date: _________________________________________________
(must be within 90 days of date submitted)
WILLIAM FRANCIS GALVIN
Secretary of the Commonwealth
Filing fee: $25 for paper or fax filings.
TO BE FILLED IN BY CORPORATION
Contact Information:
___________________________________________________________
___________________________________________________________
___________________________________________________________
Telephone: ___________________________________________________
Email: ______________________________________________________
Upon filing, a copy of this filing will be available at www.sec.state.ma.us/cor.
If the document is rejected, a copy of the rejection sheet and rejected document will
be available in the rejected queue.
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