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Kentucky Limited Partnership Registered Agent Resignation Form

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,

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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.
Next: Kentucky Limited Partnership Registered Agent Consent Form Previous: Kentucky LLC Articles of Dissolution Form
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