Form Ss-4227 - Form For Resignation Of Registered Agent Of A Limited Liability Company - Tennessee

For Office Use Only

RESIGNATION OF REGISTERED AGENT

OF A LIMITED LIABILITY COMPANY

Corporate Filings

312 Eighth Avenue North

6 th Floor, William R. Snodgrass Tower

Nashville, TN 37243

Pursuant to the provisions of § 48-208-103 of the Tennessee Limited Liability Act, the undersigned

hereby submits this statement:

1. The name of the Limited Liability Company is:

2. I hereby resign as the registered agent for the above-named Limited Liability Company.

The registered office the Limited Liability Company is hereby discontinued.

The registered office of the Limited Liability Company is continued.

NOTE: Please check the applicable box in #3.

4. A copy of this notice has been mailed by certified mail to the principal office of the Limited Liability

Company.

5. The resignation will be effective on the date it is filed by the Secretary of State.

Signature Date

Signature

Signer’s Capacity

Name (typed or printed)

SS-4227 (Rev. 3/99)

RDA 2458

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Parent category: Legal