Massachusetts LLC Registered Agent Resignation Form

In the case of a registered agent for a limited liability company that is registered in the State of Massachusetts wanting to quit his/her job and be relieved of their duties, the following form has to be completed and submitted along with a $25 fee.

Extracted Text for Proper Search

The Commonwealth of Massachusetts	
William Francis Galvin	
Secretary of the Commonwealth	
One Ashburton Place, Room 1717, Boston, Massachusetts 02108-1512	
DF	
Limited Liability Company	 	
Statement of Resignation 	 	
of Resident Agent	
(General Laws Chapter 156C Section 5A and Section 51 )	
 	(1) Name of resident agent:	
 	 	________________________________________________________________________\
________________________
 	
(2) Exact name of limited liability company:	
 	 	________________________________________________________________________\
________________________
 	
(3) Current resident agent office address:
The above named resident agent hereby resigns his appointment as resident agent of the limited liability company(s).
The resident agent office address will (	Check appropriate box)	:
	
 
also be discontinued.

 
remain the same.	
I certify that a copy of this statement of resignation shall be furnished to the limited liability company pursuant \
to G.L. Chapter 
156C, Section 5A and Section 51.
The appointment is terminated, and the resident agent office discontinued, if so provided, on the thirty-first day after the
date on which the statement is filed.	
 	Signed by (signature of resident agent):	_______________________________________________________________________	, 	
 	 	 	on this	___________________________________	day of	______________________________	of 	____________________	.

COMMONWEALTH OF MASSACHUSETTS	
William Francis Galvin
Secretary of the Commonwealth	
One Ashburton Place, Boston, Massachusetts 02108-1512	
Limited Liability Company
Statement of Resignation 	
of Resident Agent	
(General Laws Chapter 156C Section 5A and Section 51)	
 	 	
statement is deemed to have been filed with me this	
______	having been paid, said 
I hereby certify that upon examination of this statement of resignation, duly 
submitted to me, it appears that the provisions of the General Laws relative to 
limited liability company have been complied with, and I hereby approve said 
statement; and the filing fee in the amount of $	
 	 	 	________________	day of	________________	, 20	_____	, at	_______	a.m./p.m.	 	time	
WILLIAM FRANCIS GALVIN	
Secretary of the Commonwealth	
Filing fee: $25 for paper or fax filings.	
No fee if filed electronically.	
TO BE FILLED IN BY LIMITED LIABILITY COMPANY	
Contact Information:	
___________________________________________________________
___________________________________________________________
___________________________________________________________
 	
___________________________________________________
 	Telephone:	
______________________________________________________	Email:
Upon filing, a copy of this filing will be available at www.sec.state.ma.us/cor.
If the document is rejected, a copy of the rejection sheet and rejected document will 
be available in the rejected queue.	
c156cfdllcresignation 09/22/08