Certificate Of Resignation Of Registered Agent (New Jersey)
This form is for the resignation of the registered agent of a corporation in New Jersey. The form provided here is simply a sample of what the actual Form C-104E looks like.
New Jersey Department of the Treasury
Division of Revenue
CERTIFICATE OF RESIGNATION OF REGISTERED AGENT FOR
__________________________________ (Corporation)
(FOR USE BY REGISTERED AGENTS OF DOMESTIC OR FOREIGN CORPORATIONS)
In accordance with the provisions of Section 14A:4-4(2), Corporations, General, of the New Jersey Statutes,
I, __________________________________ Agent
At __________________________________ (No. and Street)
__________________________________ (City and State)
__________________________________ (Zip Code)
the address of the registered office of the above-named corporation,
incorporated under the laws of __________________________________ (Name of State)
DO HEREBY DECLARE that:
1. I sent my resignation by certified mail, number __________________________________,
recorded at the __________________________________ (Cert. Mail #)
__________________________________ (City and State of Post Office)
Post Office with return receipt requested, to:
__________________________________ (Name)
being the last __________________________________ (President, Vice-President, Sec. or Treas.)of said corporation known to me, at the last address known to me at:
__________________________________ (No. and Street)
__________________________________ (City and State)
__________________________________ (Zip Code)
Certified mail was ____ accepted by __________________________________ ____ not accepted
Certified mail was ____ accepted by __________________________________ ____ not accepted
2. Attached is a copy of my resignation mailed on __________________________________ (Date)
(Omit if not applicable)
3. Service of notice of my resignation has not been made as required. Such service cannot be made because:
__________________________________
4. It is understood that my resignation shall become effective upon the expiration of 30 days after the filing of this certificate in the Office of the Secretary of State or upon the designation by the corporation of a new registered agent, whichever is earlier. Beginning with the effective date of my resignation this certificate is authorization for the Treasurer to accept service of process under N. J. S. 2A:15-26 through N.J. S. A.2A:15-30 until the corporation files a certificate setting forth the name of a new Registered Agent,
__________________________________ (Signature of Agent of Record)
__________________________________ (Date)
NOTE: Pursuant to NJSA 14A:4-3 and NJSA 14A:4-3(4), failure to file a Certificate of Change of Registered Agent or Office or both may result in a penalty imposed by the State Attorney General.