COVERLETTER 

 TO:  Amendment Section 
      Division of Corporations 
 
 SUBJECT:                                                                                                       
                                                                            (Name of Corporation) 
 
 DOCUMENT NUMBER:                                                                                               
 
 The enclosed Resignation of Registered Agent for a Corporation and fee are submitted for filing. 

 Please return all correspondence concerning this matter to the following: 
 
                    (Name of Person) 
 
                  (Name of Firm/Company) 
 
                      (Address) 
 
                  (City/State and Zip Code) 
 
 For further information concerning this matter, please call: 
 
                                                                              at (   )                          
                  (Name of Person)                                               (Area Code & Daytime Telephone Number) 
 
 Enclosed is a check made payable to the Florida Department of State for $87.50 for an active corporation 
 or $35.00 for an administratively dissolved, voluntarily dissolved or withdrawn corporation. 
 
     Mailing Address:                                                                Street Address: 
     Amendment Section                                                               Amendment Section 
     Division of Corporations                                                        Division of Corporations 
     P.O. Box 6327                                                                   The Centre of Tallahassee 
     Tallahassee, FL 32314                                                           2415 N. Monroe Street, Suite 810 
                                                                                     Tallahassee, FL 32303 
 
 CR2E046 (12/19) 

                 RESIGNATION OF REGISTERED AGENT 
                                    FOR A CORPORATION 
 
 Pursuant to the provisions of sections 607.0503(2), 617.0502(2), 607.1509, or 617.1509, 

 Florida Statutes, the undersigned,                                                            
                                                    (Name of Registered Agent) 
 
 hereby resigns as Registered Agent for                                                        
                                                         (Name of Corporation) 
 
 (Document Number, if known) 

 A copy of this resignation was mailed to the above listed corporation at its last known address. 

 The agency is terminated and the office discontinued on the 31st day after the date on which 
 this statement is filed. 
 
                                       (Signature of Resigning Agent) 
 
 If signing on behalf of an entity: 
 
                                       (Typed or Printed Name) 
 
                                         (Capacity)     
 
                          Fee for filing this document:         
                          $87.50 - Active Corporation 
                          $35.00 - Administratively dissolved/voluntarily dissolved/ 
                                       withdrawn corporation 
 
                 Make checks payable to Florida Department of State and mail to: 
                                       Division of Corporations 
                                         P.O. Box 6327 
                                       Tallahassee, FL   32314 
                                                    
 CR2E046 (12/19)