Form 402 – Resignation of Registered Agent Unique IDNo filing fee.Entity InformationWhat is the name of the entity for which you are the designated Registered Agent?(Required)State the name of the entity as currently shown in the records of the secretary of state.What is the entity’s filing number previously issued by the secretary of state?(Required)The filing number is the unique 10-digit number assigned by the secretary of state to each business organization, name registration, or name reservation filed with the secretary of state.You are required to provide the entity written notice of your resignation as the Registered Agent. Please provide the address to which you mailed or delivered your notice of resignation.(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please provide the date on which the notice of resignation was given to the entity.(Required) MM slash DD slash YYYY go back to registered agent delegation
