Form MBCA-12E-NCRA "Statement of Resignation - Noncommercial Registered Agent" - Maine

Form MBCA-12E-NCRA or the "Statement Of Resignation - Noncommercial Registered Agent" is a form issued by the Maine Department of the Secretary of State.

Download a PDF version of the Form MBCA-12E-NCRA down below or find it on the Maine Department of the Secretary of State Forms website.

ADVERTISEMENT

Download Form MBCA-12E-NCRA "Statement of Resignation - Noncommercial Registered Agent" - Maine

1405 times
Rate
(4.7 / 5) 98 votes
Filing Fee $35.00
FOREIGN
BUSINESS CORPORATION
STATE OF MAINE
NONCOMMERCIAL REGISTERED
AGENT
_____________________
Deputy Secretary of State
STATEMENT OF RESIGNATION
A True Copy When Attested By Signature
_____________________
Deputy Secretary of State
______________________________________
(Name of Corporation)
Pursuant to
5 MRSA
§111, the undersigned noncommercial registered agent executes and delivers the following statement of resignation
from serving as agent for service of process for this corporation:
FIRST:
The name and address of the resigning noncommercial registered agent as it appears on the record in the Secretary of
State's office:
_______________________________________________________________________________________________
(name of current noncommercial registered agent)
_______________________________________________________________________________________________
(physical street address, city, state and zip code – as it appears on the record)
SECOND:
The name and address of the person to which the noncommercial registered agent will send the required notice to:
______________________________________________________________________________________________
(insert name)
at_____________________________________________________________________________________________
(mailing address including zip code)
the ________________________________________________________________ of the corporation.
(title of corporate officer)
DATED _________________________
__________________________________________________
(signature of noncommercial registered agent)
__________________________________________________
(type or print name)
Pursuant to
5 MRSA
§111.3, the registered agent shall promptly furnish the represented entity notice in a record of the date on which a
statement of resignation was filed.
Please remit your payment made payable to the Maine Secretary of State.
Submit completed form to:
Secretary of State
Division of Corporations, UCC and Commissions
101 State House Station, Augusta, ME 04333-0101
Telephone Inquiries: (207) 624-7752
Email Inquiries:
CEC.Corporations@Maine.gov
Form No. MBCA-12E-NCRA 7/1/2008
Filing Fee $35.00
FOREIGN
BUSINESS CORPORATION
STATE OF MAINE
NONCOMMERCIAL REGISTERED
AGENT
_____________________
Deputy Secretary of State
STATEMENT OF RESIGNATION
A True Copy When Attested By Signature
_____________________
Deputy Secretary of State
______________________________________
(Name of Corporation)
Pursuant to
5 MRSA
§111, the undersigned noncommercial registered agent executes and delivers the following statement of resignation
from serving as agent for service of process for this corporation:
FIRST:
The name and address of the resigning noncommercial registered agent as it appears on the record in the Secretary of
State's office:
_______________________________________________________________________________________________
(name of current noncommercial registered agent)
_______________________________________________________________________________________________
(physical street address, city, state and zip code – as it appears on the record)
SECOND:
The name and address of the person to which the noncommercial registered agent will send the required notice to:
______________________________________________________________________________________________
(insert name)
at_____________________________________________________________________________________________
(mailing address including zip code)
the ________________________________________________________________ of the corporation.
(title of corporate officer)
DATED _________________________
__________________________________________________
(signature of noncommercial registered agent)
__________________________________________________
(type or print name)
Pursuant to
5 MRSA
§111.3, the registered agent shall promptly furnish the represented entity notice in a record of the date on which a
statement of resignation was filed.
Please remit your payment made payable to the Maine Secretary of State.
Submit completed form to:
Secretary of State
Division of Corporations, UCC and Commissions
101 State House Station, Augusta, ME 04333-0101
Telephone Inquiries: (207) 624-7752
Email Inquiries:
CEC.Corporations@Maine.gov
Form No. MBCA-12E-NCRA 7/1/2008
Filer Contact Cover Letter
To:
Department of the Secretary of State
Tel. (207) 624-7752
Division of Corporations, UCC and Commissions
101 State House Station
Augusta, ME 04333-0101
Name of Entity (s):
_______________________________________________________________________
_______________________________________________________________________
List type of filing(s) enclosed
(i.e. Articles of Incorporation, Articles of Merger, Articles of Amendment, Certificate
of Correction, etc.) Attach additional pages as needed.
________________________________________________________________________
________________________________________________________________________
Special handling request(s):
(check all that apply)
Hold for pick up
Expedited filing - 24 hour service ($50 additional filing fee per entity, per service)
Expedited filing - Immediate service ($100 additional filing fee per entity, per service)
Total filing fee(s) enclosed: $ ________________
Contact Information – questions regarding the above filing(s), please call or email:
(failure to provide a
contact name and telephone number or email address will result in the return of the erroneous filing (s) by the Secretary of State’s office)
___________________________________
___________________________________
(Name of contact person)
(Daytime telephone number)
____________________________________________________
(Email address)
The enclosed filing(s) and fee(s) are submitted for filing. Please return the attested copy to the following
address:
______________________________________________________________________________
(Name of attested recipient)
_____________________________________________________________________________________________
(Firm or Company)
_____________________________________________________________________________________________
(Mailing Address)
_____________________________________________________________________________________________
(City, State & Zip)
ADVERTISEMENT
Page of 2