L-221 New Jersey Division of Revenue Certification of Resignation of Agent / Appointment of New Agent ( For Use by Limited Liability Partnerships ) To: New Jersey Department of the Treasury, Division of Revenue In accordance with the provisions of NJSA 42, I _______________________________________ at (Agent Name): __________________________________________ ____________________________ ___________ (No. and Street) (City and State) (Zip) the address of the registered office of the Limited Liability Partnerships listed below. DO HEREBY DECLARE THAT: 1. I resign as Registered Agent for the Limited Liability Partnerships listed below and appoint ______________________________________________ at (New Agent's Name) __________________________________________ ___________________________ ____________ (No. and Street) (City and State) (Zip) as successor registered agent for each Limited Liability Partnership listed. 2. Attached are copies of statements executed by each of the Limited Liability Partnerships listed, ratifying and approving the change of registered agent. Affected LLPs: (Attach list if required) It is understood that my resignation shall become effective upon filing of this certificate with the Treasurer or upon designation by the LLP of a new registered agent, whichever is earlier. ______________________________________ (Signature of Resigning Agent) ______________ (Date) NJ Division of Revenue, PO Box 308, Trenton, NJ 0846 American LegalNet, Inc. www.USCourtForms.com Rev 7/18/05 Instructions for Form L-221 CERTIFICATION OF RESIGNATION OF AGENT With APPOINTMENT OF NEW AGENT For LIMITED LIABILITY PARTNERSHIPS (Title 42) STATUTORY FEE: $25.00, PLUS $10.00 FOR EACH LLP LISTED ON FORM The MANDATORY fields are: Name and Office List the registered agent name and office as they appear on the records of the State Treasurer Declaration of Resignation/Appointment of Successor Add a statement that the listed agent is resigning (Form L-221 already provides this) and list the successor agent's name and address. Provide a New Jersey street address. A PO box may be used only if the street address is listed as well. Affected LLP(s) List each LLP affected by the change; show the LLP name(s) as it appears on the records of the State Treasurer. ATTESTATIONS Add a statement indicating an understanding that the resignation is effective upon the filing of the change form with the Division of Revenue, or upon the designation of a new agent/office by the affected LLP (s), whichever is earlier. Form L-221 already provides the statements. ATTACHMENTS Attach written statements executed by the affected LLP(s) showing ratification and approval of the change. EXECUTION Have the resigning agent sign. Also, list the date of execution (signature). ********** These documents should be filed in duplicate. Non-profits should file in triplicate. Make checks payable to: TREASURER, STATE OF NEW JERSEY. (No cash, please) Mail to: NJ Division of Revenue, PO Box 308, Trenton, NJ 08646 American LegalNet, Inc. www.USCourtForms.com