Form Mllc-3a-Ncra - Limited Liability Company Statement Of Resignation
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1Filing Fee $35.00
LIMITED LIABILITY COMPANY
STATE OF MAINE
NONCOMMERCIAL REGISTERED AGENT
_____________________
STATEMENT OF RESIGNATION
Deputy Secretary of State
A True Copy When Attested By Signature
______________________________________
_____________________
Deputy Secretary of State
(Name of Limited Liability Company)
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 limited liability company:
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 limited liability company.
(title of person notified)
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. MLLC-3A-NCRA 7/1/2008
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