Form Mllc-3a - Notice Of Resignation Of Registered Agent (Page 2 of 2) in pdf

Form Mllc-3a - Notice Of Resignation Of Registered Agent Page 2

RESIGNING REGISTERED AGENT*

DATED

(signature)

(type or print name)

For Resigning Regjstered Agent which is a Corporation

Name of Corporation

(authorized signattlre)

(type or print name aIxl capacity)

THE FOLLOWING

SHALL

BE COMPLETED

BY THE SUCCESSOR REGISTERED

AGENT

UNLESS TIllS

DOCUMENT

IS ACCOMPANIED

BY FORM

MLLC-18

(§607 .2.).

The undersigned hereby accepts the appointment as registered agent for the above named limited liability company(ies).

REGISTERED AGENT

DATED

(signature)

(type or print name)

For Registered Agent which is a Corporation

Name of Corporation

(audlorized signature)

(type or print name aIxi capacity)

*Certificate

be signed by the re2istered a2ent.

The execution of this certificate constitutes an oath or affirmation

under the penalties of false swearing under Title 17-A, section 453.

SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARYOF STATE,

101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101

FORM NO. MLLC-3A

Rev.8/2000

TEL. (201) 287-4195

Form Mllc-3a - Notice Of Resignation Of Registered Agent Page 2