DOS-1524-f (Rev. 04/17) Page 1of 2Department 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 Domestic Registered Limited Liability Partnership) Under Section 121-1506 of the Partnership Law FIRST: The name of the registered limited liability partnership is: . If the name of the registered limited liability partnership has been changed, the name under which it was registered is: . SECOND: The date the certificate of registration was filed with the Department of State is: . THIRD: The undersigned resigns as registered agent of the registered limited liability partnership. FOURTH: [check appropriate statement] The undersigned has sent a copy of the certificate of resignation of registered agent by registered mail to the registered limited liability partnership 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 has sent a copy of the certificate of resignation of registered agent by registered mail to the office of the registered limited liability partnership in the jurisdiction of its formation. X (Signature of Registered Agent) (Typed or Printed Name of Registered Agent) American LegalNet, Inc. www.FormsWorkFlow.com DOS-1524-f (Rev. 04/17) Page 2of 2CERTIFICATE OF RESIGNATION OF REGISTERED AGENT OF (Insert Name of Domestic Registered Limited Liability Partnership) Under Section 121-1506 of the Partnership Law Filer222s Name and Mailing Address: Name: Company, if Applicable: Mailing Address: City, State and Zip Code: NOTES: 1. The name of the registered limited liability partnership and the date the certificate of registration was filed by the Department of 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 registered limited liability partnership. 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 legal documents be prepared under the guidance of an attorney. 4. The certificate must be submitted with the filing fee of $10 made payable to the Department of State. (For DOS Use Only) American LegalNet, Inc. www.FormsWorkFlow.com