Free RETURN TO - South Dakota

Secretary of State Office 500 E Capitol Ave Pierre, SD 57501 (605)773-4845

COMMERCIAL REGISTERED AGENT STATEMENT OF TERMINATION
Please Type or Print Clearly in Ink

RECEIPT NO ___________________

Please submit one Original and one Photocopy

FILING FEE: $10 Payable to SECRETARY OF STATE

Clear Form

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The indicated Commercial Registered Agent (CRA) submits to the Secretary of State the following statement for the purpose of terminating its status as a commercial agent in the State of South Dakota. 1. The Commercial Registered Agent CRA# _____________________________________________________________ 2. The CRA Name _________________________________________________________________________________ 3. The agent is no longer in the business of serving as a commercial registered agent in South Dakota. The termination will take effect on the thirty-first day after the day on which this statement is filed by the Secretary of State office. 4. The Commercial Registered Agent shall promptly furnish each entity represented by it with notice in a record of the filing of the Commercial Registered Agent Statement of Termination.

The statement of termination shall be signed by or on behalf of the agent.

Dated ____________________________

______________________________________________
(Signature of an authorized officer)

______________________________________________
(Printed Name)

______________________________________________
(Title)

Commercialagttermination July 2008