BUSINESS REGISTRATION DIVISION P.O. BOX 29622 RALEIGH, NC 27626-0622 (Revised July, 2017) (Form BE-07) State of North Carolina Department of the Secretary of State STATEMENT OF RESIGNATION OF REGISTERED AGENT Pursuant to 24755D-32 of the General Statutes of North Carolina, the undersigned hereby submits the following statement: 1. I, , (type or print name), hereby resign my appointment as registered agent for the following entity:. 2. The undersigned certifies that written notice of this resignation as registered agent of the entity has been mailed or delivered to the entity as follows: Name and Title of Individual Address City, State, Zip Code 3. The registered office is to be discontinued. (check here if applicable) This the day of , 20 Name of Entity Signature Type or Print Name and Title NOTES 1. No filing fee. This document must be filed with the Secretary of State. 2. The appointment as registered agent is terminated, and the registered office is discontinued if so provided, on the 31st day after the date on which this statement is filed. American LegalNet, Inc. www.FormsWorkFlow.com