Statement Of Resignation of Statutory Agent (Arizona)
This form is the resignation of a statutory agent in Arizona. The form provided here is simply a sample of what the actual Form AR0011 looks like.
STATEMENT OF RESIGNATION OF
STATUTORY AGENT
OF
_______________________________________________
IMPORTANT! You must evaluate both items. Check those that apply.
1) The undersigned statutory agent of _____________________________,
____ an Arizona corporation, or ____ a foreign corporation qualified to do business in Arizona, hereby resign my appointment as agent.
2) ____ The known place of business, currently the street address of the undersigned, is also discontinued.
The undersigned has given notice of this resignation to the Corporation by mailing one copy to the Corporation at the following address:
________________________________________________________________
________________________________________________________________
This resignation shall be effective on the thirty-first day after the date on which this statement is delivered to the Arizona Corporation Commission for filing.
DATED this ____ day of ____________________, _____.
Signed__________________________________
__________________________________
[Print Name]
This form must be accompanied by a filing fee of $10.00 (U.S.) made payable and delivered to:
ARIZONA CORPORATION COMMISSION
Corporations Division
1300 West Washington
Phoenix, Arizona 85007-2929
or 400 West Congress
Tucson, Arizona 85701-1347