Filing Fee $35.00 FOREIGN BUSINESS CORPORATION STATE OF MAINE NOTICE OF RESIGNATION OF REGISTERED AGENT _____________________ Deputy Secretary of State A True Copy When Attested By Signature _____________________ Deputy Secretary of State ______________________________________ (Name of Corporation) Pursuant to 13-C MRSA §1507.5, the undersigned executes and delivers the following Notice of Resignation of Registered Agent: FIRST: The above named ____________________________ (state of incorporation) corporation was authorized to transact business in the State of Maine on ________________________ (date). SECOND: A copy of the notice of resignation has been mailed to the corporation at its last principal office, wherever located, as filed with the Secretary of State, which is: ______________________________________________________________________________________________. THIRD: The appointment of such agent shall terminate upon the date of the filing of this notice by the Secretary of State. DATED _________________________ *By ___________________________________________________ (signature of registered agent) __________________________________________________ (type or print name) *__________________________________________________ (name of corporation) By __________________________________________________ (signature of any duly authorized officer) __________________________________________________ (type or print name and capacity) *Registered agent of a corporation may be a person or corporation. If a person, it must be originally signed. If the registered agent is a corporation, the name of the corporation should be typed or printed, and the document MUST be signed by any duly authorized officer. Please remit your payment made payable to the Maine Secretary of State. SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE, 101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101 FORM NO. MBCA-12E 7/1/2005 TEL. (207) 624-7740 American LegalNet, Inc. www.USCourtForms.com