Form Ssc-110 - Statement Of Resignation Of Registered Agent - Secretary Of State, Commonwealth Of Kentucky

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COMMONWEALTH OF KENTUCKY
TREY GRAYSON
SECRETARY OF STATE
STATEMENT OF RESIGNATION OF REGISTERED AGENT
I, ________________________________________________________________________________, do hereby
_____ resign as registered agent, and
_____ discontinue the registered office address
on behalf of _______________________________________________________________________________________
(Exact name of business entity)
_______ a corporation (KRS 271B, KRS 273)
_______ a limited liability company (KRS 275)
_______ a limited partnership (KRS 362)
organized and existing in the state or country of __________________________________________________________.
st
The agency appointment shall be terminated and the registered office discontinued, if so provided, on the 31
day
after the date on which the statement is filed.
___________________________________________________
Signature of Resigning Agent
___________________________________________________
___________________________________________________
___________________________________________________
Address of Resigning Agent
Submit one originally signed and two exact or conformed copies. (May be photocopies). The Secretary of State’s office will return one
file-stamped copy to the resigning agent and mail one file-stamped copy to the business entity at its principal office address.
MAILING ADDRESS
Trey Grayson
Secretary of State
PO Box 718
Frankfort, KY 40601
SSC-110 (8/98)

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