"Certificate of Revocation of Appointment of Resident Agent" - Massachusetts

Certificate of Revocation of Appointment of Resident 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 November 7, 2013;
  • 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 "Certificate of Revocation of Appointment of Resident Agent" - Massachusetts

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IDENTIFICATION
____________________
no.
Filing Fee: $10.00
The Commonwealth of Massachusetts
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Room 1717, Boston, Massachusetts 02108-1512
CERTIFICATE OF REVOCATION OF APPOINTMENT OF RESIDENT AGENT
(General Laws, Chapter 180, Section 10C)
I, _____________________________________________________________________________________ , *Clerk / *Assistant Clerk
of _________________________________________________________________________________________________________ ,
(Exact name of corporation)
having a principal office at ______________________________________________________________________________________ ,
(Street address of corporation in Massachusetts)
certify that pursuant to General Laws, Chapter 180, Section 10C, said corporation has revoked the appointment of:
____________________________________________________________________________________________________________
(Exact name of resident agent)
of ________________________________________________________________________________________________________ ,
(Business address of resident agent)
as its resident agent and that the following is a true copy of the vote of the directors revoking such appointment:
SIGNED UNDER THE PENALTIES OF PERJURY, this __________ day of________________________________ , 20 ___________,
_______________________________________________________________________________________ , *Clerk / *Assistant Clerk.
*Delete the inapplicable words.
180cvara 11/7/13
IDENTIFICATION
____________________
no.
Filing Fee: $10.00
The Commonwealth of Massachusetts
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Room 1717, Boston, Massachusetts 02108-1512
CERTIFICATE OF REVOCATION OF APPOINTMENT OF RESIDENT AGENT
(General Laws, Chapter 180, Section 10C)
I, _____________________________________________________________________________________ , *Clerk / *Assistant Clerk
of _________________________________________________________________________________________________________ ,
(Exact name of corporation)
having a principal office at ______________________________________________________________________________________ ,
(Street address of corporation in Massachusetts)
certify that pursuant to General Laws, Chapter 180, Section 10C, said corporation has revoked the appointment of:
____________________________________________________________________________________________________________
(Exact name of resident agent)
of ________________________________________________________________________________________________________ ,
(Business address of resident agent)
as its resident agent and that the following is a true copy of the vote of the directors revoking such appointment:
SIGNED UNDER THE PENALTIES OF PERJURY, this __________ day of________________________________ , 20 ___________,
_______________________________________________________________________________________ , *Clerk / *Assistant Clerk.
*Delete the inapplicable words.
180cvara 11/7/13
THE COMMONWEALTH OF MASSACHUSETTS
CERTIFICATE OF REVOCATION OF APPOINTMENT OF RESIDENT AGENT
(General Laws, Chapter 180, Section 10C)
I hereby approve the within Certificate of Revocation of Appointment
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 _________day of ___________________, 20______ .
WILLIAM FRANCIS GALVIN
Secretary of the Commonwealth
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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