Notice Of Resignation Of Registered Agent (Illinois)
This form is a notice of resignation of a registered agent in Illinois. The form provided here is simply a sample of what the actual Form BCA-5.15 looks like.
File # ________________________________
Form BCA-515
Jesse White
Secretary of State
Department of Business Services
Springfield, IL 62756
Telephone (217) 785-2237
(217) 785-6033
https://www.sos.state.il.us
Remit payment in check or money order, payable to "Secretary of State."
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SUBMIT ONE ORIGINAL
This space for use by Secretary of State
Date ________________________________
Filing Fee $5.00
Approved: ________________________________
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NOTICE OF RESIGNATION OF REGISTERED AGENT
1. CORPORATE NAME: ____________________________
2. Name and address of registered agent and registered office as they appear on the records of the Office of the Secretary of State:
Registered Agent First Name ____________________________
Middle Name ____________________________
Last Name ____________________________
Registered Office Number ____________________________
Street ____________________________
Suite # (A P.O. Box alone is not acceptable) ____________________________
City ____________________________
ZIP Code ____________________________
County ____________________________
3. Effective date of resignation: ____________________________. (Not less than 30 days after its filing by the Secretary of State)
4. Address of the principal office of the corporation as such is known to the registered agent:
Number ____________________________
Street ____________________________
Suite # ____________________________
City ____________________________
ZIP Code ____________________________
County ____________________________
5. A copy of this notice has been sent to the principal office of the corporation at least 10 days prior to the date of its filing with the Secretary of State.
6. The undersigned affirms, under penalties of perjury, that the facts stated herein are true.
Dated ____________________________ (Month/Day), _________ (Year)
By ____________________________ (Signature of Principal Officer)
____________________________ (Type or Print Name)
By ____________________________ (Signature of Registered Agent)
____________________________ (Type or Print Name)
NOTE: If registered agent is an individual, this notice shall be signed by the registered agent.
If registered agent is a corporation, this notice shall be signed by a principal officer.