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RESIGNATION OF REGISTERED AGENT COUPLED WITH APPOINTMENT OF SUCCESSOR
TO: OKLAHOMA SECRETARY OF STATE 2300 N. Lincoln Blvd., Room 101, State Capitol Building Oklahoma City, Oklahoma 73105-4897 (405) 521-3912
The undersigned, for the purpose of changing the name of the registered agent and address of the registered office of the corporation, as provided by Section 1025 of the Oklahoma General Corporation Act, hereby certifies: 1. The name of the corporation is:
2.
The state or other jurisdiction of its formation:
3. The undersigned, designated registered agent in the State of Oklahoma, is unwilling to continue to act as agent of said corporation for service of process. 4. Upon the filing of this statement with the Secretary of State, the capacity of the undersigned as such registered agent shall terminate, and the successor agent and the address of the registered office for said corporation shall be:
Name of Agent
Street Address City (P.O. BOXES ARE NOT ACCEPTABLE)
County
Zip Code
(CONTINUED ON REVERSE SIDE)
IN WITNESS WHEREOF, the undersigned registered agent has caused this statement to be signed this day of , .
ACKNOWLEDGEMENT BY AN AGENT WHO IS AN INDIVIDUAL
SIGNATURE
PLEASE PRINT NAME
ACKNOWLEDGEMENT BY AN AGENT THAT IS A BUSINESS ENTITY
EXACT BUSINESS ENTITY NAME
List Title:
List Title:
PLEASE PRINT NAME
PLEASE PRINT NAME
The undersigned corporation does hereby ratify and approve the foregoing change of registered agent on this day of , . IN WITNESS WHEREOF, said corporation has caused this certificate to be signed by its President or Vice President and attested to by its Secretary or Assistant Secretary.
By
President
(PLEASE PRINT NAME) ATTEST:
By
Secretary
(PLEASE PRINT NAME)
(SOS FORM0057-12/01)