RESIGNATION OF REGISTERED AGENT
NOT COUPLED WITH
APPOINTMENT OF SUCCESSOR
(MCN CORPORATION)
TO: MUSCOGEE (CREEK) NATION SECRETARY OF THE NATION
P.O. Box 580
Okmulgee, OK 74447
(918) 549-2607
The undersigned, designated registered agent for:
_____________________________________________________________________________________________
a Muscogee (Creek) Nation Corporation, is unwilling to continue to act as agent for service of process for said
corporation.
On the _______ day of ________________, _______, which is at least thirty (30) days prior to the filing of
this resignation, due notice of such resignation of registered agent was mailed or delivered to the corporation at:
_____________________________________________________________________________________________
being the address last known to the undersigned registered agent.
Pursuant to Section 1026 of the Muscogee (Creek) Nation General Corporation Act, the resignation of the
undersigned agent shall become effective thirty (30) days after the filing of this certificate with the Secretary of the
Nation.
IN WITNESS WHEREOF, the undersigned registered agent has caused this certificate to be executed this
_______ day _______________, _______.
ACKNOWLEDGMENT BY AN AGENT WHO IS AN INDIVIDUAL
___________________________ _______________________________________
SIGNATURE PLEASE PRINT NAME
ACKNOWLEDGMENT BY AN AGENT THAT IS A BUSINESS ENTITY
___________________________________
EXACT BUSINESS ENTITY NAME
____________________________ ____________________________
List Title:____________________ List Title:_____________________
____________________________ ____________________________
PLEASE PRINT NAME PLEASE PRINT NAME
FILING FEE: $25.00
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