A commercial registered agent may resign at any time with respect to a represented entity by filing with the
division a statement that the agent resigns from serving as agent for service of process for the entity signed by or
on behalf of the agent (U.C.A. Section 16-17-209(1))
The commercial registered agent resignation will take effect on the 31st day after the day on which it is filed.
(U.C.A. Section 16-17-209(3))
1) Correct name of the business.
____________________________________________________________________________________________
2) Entity Number of the business.
___________________________________________
3) Commercial Registered Agent Name.
____________________________________________________________________________________________
4) Commercial Registered Agent File Number.
___________________________________________
5) The above listed Commercial Registered Agent resigns from serving as agent for service of process for
the entity
The Commercial Registered Agent shall promptly furnish the represented entity notice in a record of the date on
which a statement of resignation was filed
6) Name of person notice sent to.
____________________________________________________________________________________________
7) Address of the person notice sent to.
____________________________________________________________________________________________
Address City State Zip
8) Name & Signature
Under penalties of perjury and as an authorized authority, I declare that this statement of Resignation has been examined by me and is, to
the best of my knowledge and belief, true, correct and complete.
__________________________________________ ______________________________________
Commercial Registered Agent Name Signature of Commercial Registered Agent Name
Under GRAMA {63G-2-201}, all registration
information maintained by the Division is classified as public record. For confidentiality purposes, you
may use the business entity physical address rather than the residential or private address of any individual affiliated with the entity.
State of Utah
DEPARTMENT OF COMMERCE
Division of Corporations & Commercial Code
Commercial Registered Agent Resignation
This form cannot be hand written.
Print Form
Clear Form
Sign here after the form is printed
Mailing/Faxing Information:
www.corporations.utah.gov/contactus.html
Division's Website:
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