RESIGNATION OF RESIDENT AGENT
(MUSCOGEE (CREEK) NATION LLC)
TO: MUSCOGEE (CREEK) NATION SECRETARY OF THE NATION
P.O. Box 580
Okmulgee, OK 74447
(918) 549-2607
Pursuant to Title 3, Section 2010.D., the undersigned, designated resident agent in the Muscogee
(Creek) Nation for:
____________________________________________________________________________________
a Muscogee (Creek) Nation limited liability company, hereby declares that he is willing to continue to act
as agent of said limited liability company for service of process.
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
limited liability company at:__________________________________________________________
being the address last known to the undersigned registered agent.
Said agent requests that his capacity as such agent shall terminate thirty (30) days after the filing of
this statement with the Secretary of the Nation or at the following later time:_________________.
Dated:________________________
____________________________________
Signature
_____________________________________
Type or Print Name
(List title, if applicable)
FILING FEE: $25.00
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