In the case of a registered agent for a limited partnership that is registered in the State of Kentucky wanting to resign and become relieved of his/her duties, the following form has to be completed and submitted,Download
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(01/12 ) C OMMONWEALTH OF K ENTUCKY ALISON LUNDERGAN G RIMES , SECRETARY OF STATE ____________________________________________________________________________________________ _____________________________ Division of Business Filings Business Filings PO Box 718 Fra nkfort, KY 40602 (502) 564 -3490 www.sos.ky.gov ___________________________________________________________ _______________________________ Pursuant to the provisions of KRS Chapter 14A and 271B, 273, 274, 275 , 362 or 386, the undersigned applies for resignation of registered agent and , for that purpose , submits the following statements: 1. I, _ ________ _______ __ __________ __________ ______________________________________________ , do hereby resign as registered agent; and /or discontinue the registered office address 2. The business entity which I am resigning from is_ __________ ____________________________________________ , (The n ame must be identical to the name on record with the Secretary of State.) 3. The business is: a corporation (KRS 271B, KRS 273 or KRS 274 ); a limited liability company (KRS 275) ; a limited partnership (KRS 362) ; a limited liability partnership (KRS 362 ); or a business trust (KRS 386) 4. The business entity was organized and existing in the state or country of ____ ______ _______________ _________ . 5. The mailing address of the resigning agent: _________________________________________________________ ________________________________________ Street Address or Post Office Box Numbers City State Zip 6. The agency appointment shall be terminated and the registered office discontinued, if so provided, on the 31 st day after the date on which the sta tement is file d. I declare under penalty of perjury under the laws of Kentucky that the forgoing is true and correct. __________________________________________________________________________________________________ Signature of Registered Agent Printed Name Date Statement of Resignation of Registered Agent SRA (Domestic or Foreign Business Entity) (01/12 ) FILING INSTRUCTIONS STATEMENT OF RESIGNATION OF R EGISTERED AGENT NAME Use the exact name of the business entity as registered on file with the Office of the Secretary of State. PRINCIPAL OFFICE ADDRESS The principal office is the office (in or out of this state) so designated in writing with the Office of the Secretary of State where the principal designated office of the business entity is located. This address is where all correspondence from the Office of t he Secretary of State (See Document Delivery) will be mailed . DOCUMENT DELIVERY A file stamped postcard will be sent to the principal office address. If the applicant wishes for the document to be sent to an alternate address other than the principal office, a request m ust be submitted in writing affirming that request. Alternate address requests must be submitted with each document filed with the Office of the Secretary of State. DELAYED EFFECTIVE DATE AND TIME The document will be effective on the date and time of filing, unless a delayed effective date and/or time is specified. The effective date or the delayed effective date cannot be prior to the date the application is filed. A delayed effective date may not be late r than the 90 th day after the date of filing. WHO MAY SIGN The document must be signed by the registered agent. NUMBER OF COPIES If filing via mail or in person, one exact or conformed copy of the documents with the filing fee must be submitted to the ad dress below. To make a copy of the filing f or delivery to the local county clerk’s office, visit www.sos.ky.gov and print a copy from the organization search tool. FILING FEE There is no filing fee for filing this document. MAILING ADDRESS OFFICE LOCATION Alison Lundergan Grimes Room 154, C apitol Building Office of the Secretary of State 700 Capital Avenue P.O. Box 718 Frankfort, KY 40601 Frankfort, KY 40602 -0718 Hours of Operation: 8:00 AM -4:30 PM ET CONTACT INFORMATION If you have any questions, please feel free to visit our websi te at www.sos.ky.gov or call 502 -564 -3490.