DOS1661-f (Rev. 03/17) Page 1of 2New York StateDepartment of State DIVISION OF CORPORATIONS, STATE RECORDS AND UNIFORM COMMERCIAL CODE One Commerce Plaza 99 Washington Ave. Albany, NY 12231-0001 www.dos.ny.gov CERTIFICATE OF RESIGNATION OF REGISTERED AGENT OF (Insert Name of Foreign Corporation) Under Section 305 of the Business Corporation Law FIRST: The name of the corporation is: . (Complete only if the corporation has agreed to use a fictitious name in New York State.) The fictitious name the corporation has agreed to use in New York State is: . SECOND: The application for authority was filed with the Department of State on: . THIRD: The registered agent hereby resigns. FOURTH: (check the appropriate statement) The undersigned registered agent has sent a copy of the certificate of resignation of registered agent by registered mail to the corporation at the address on file in the Department of State specified for the mailing of process. The address for service of process is the address of the registered agent. Therefore, the undersigned registered agent has sent a copy of the certificate of resignation of registered agent by registered mail to the office of the corporation in the jurisdiction of its formation or incorporation. X (Signature of Registered Agent) (Typed or Printed Name of Registered Agent) American LegalNet, Inc. www.FormsWorkFlow.com DOS1661-f (Rev. 03/17) Page 2of 2CERTIFICATE OF RESIGNATION OF REGISTERED AGENT OF (Insert Name of Foreign Corporation) Under Section 305 of the Business Corporation Law Filer222s Name and Mailing Address: Name: Company, if Applicable: Mailing Address: City, State and Zip Code: NOTES: 1. The name of the corporation and the date it was authorized to conduct business in New York State provided on this certificate must exactly match the records of the Department of State. This information should be verified on the Department of State222s website at www.dos.ny.gov. 2. This form has been prepared by the New York State Department of State for filing a certificate of resignation of registered agent for a foreign corporation. You are not required to use this form. You may draft your own form or use forms available at legal stationery stores. 3. The Department of State recommends that all legal documents be prepared under the guidance of an attorney. 4. The certificate must be submitted with the filing fee of $60 made payable to the Department of State. For DOS Use Only American LegalNet, Inc. www.FormsWorkFlow.com