"Certificate of Resignation of Resident Agent" - Massachusetts

Certificate of Resignation 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 Resignation 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 RESIGNATION OF RESIDENT AGENT
(General Laws, Chapter 180, Section 10C)
I, ____________________________________________________________________________________________ , Resident Agent,
(Exact name of resident agent)
located at ___________________________________________________________________________________________________ ,
(Business address of resident agent)
certify as follows:
1. That I have resigned as resident agent of __________________________________________________________________________
(Exact name of corporation)
having a principal office at ______________________________________________________________________________________ .
(Street address of corporation in Massachusetts)
2. *The effective date of such resignation will be _________________________________ , 20 ________ .
3. I have mailed a copy of this certificate, postage prepaid, to said corporation at its principal office in Massachusetts as currently noted in
the records of the Secretary of the Commonwealth, or because that office is also my office, to the address furnished to me by the corpora-
tion as the place where copies of all processes served upon me are to be forwarded.
SIGNED UNDER THE PENALTIES OF PERJURY, this __________ day of________________________________ , 20 ___________,
______________________________________________________________________________________________ , Resident Agent.
*The effective date of resignation must not be earlier than 30 days after the filing of this certificate.
180crra 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 RESIGNATION OF RESIDENT AGENT
(General Laws, Chapter 180, Section 10C)
I, ____________________________________________________________________________________________ , Resident Agent,
(Exact name of resident agent)
located at ___________________________________________________________________________________________________ ,
(Business address of resident agent)
certify as follows:
1. That I have resigned as resident agent of __________________________________________________________________________
(Exact name of corporation)
having a principal office at ______________________________________________________________________________________ .
(Street address of corporation in Massachusetts)
2. *The effective date of such resignation will be _________________________________ , 20 ________ .
3. I have mailed a copy of this certificate, postage prepaid, to said corporation at its principal office in Massachusetts as currently noted in
the records of the Secretary of the Commonwealth, or because that office is also my office, to the address furnished to me by the corpora-
tion as the place where copies of all processes served upon me are to be forwarded.
SIGNED UNDER THE PENALTIES OF PERJURY, this __________ day of________________________________ , 20 ___________,
______________________________________________________________________________________________ , Resident Agent.
*The effective date of resignation must not be earlier than 30 days after the filing of this certificate.
180crra 11/7/13
THE COMMONWEALTH OF MASSACHUSETTS
CERTIFICATE OF RESIGNATION OF RESIDENT AGENT
(General Laws, Chapter 180, Section 10C)
I hereby approve the within Certificate of Resignation 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 ________________ d a y
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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