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State of Utah
Department of Commerce
Division of Corporations & Commercial Code
Letter of Resignation

Clear Form

In accordance with Utah Statute, I _______________________________________ hereby resign from the office
Name of Person Resigning

Select from the list below

of _______________________________
, effective ________________________________ and have notified the
Position Held

Date of Resignation

following business entity listed below:

Business Name: ______________________________________________________________________________
Business Address:
____________________________________________________________________________________________
Address

City

State

Zip

Business Entity Number issued by the Division of Corporations and Commercial Code below:
________________________________________________________________________
Sign here after the form is printed
Signature of Person resigning: ___________________________________________________________________

I would also like to resign from the following positions:

Select from the list below
Other Positions: _____________________________________
Select from the list below
Other Positions: _____________________________________
Select from the list below
Other Positions: _____________________________________
Under GRAMA {63-2-201}, all registration information maintained by the Division is classified as public record. For confidentiality purposes,
you may use the business entity physical address rather than the residential or private address of any individual affiliated with the entity.

Mailing/Faxing Information: www.corporations.utah.gov/contactus.html Division's Website: www.corporations.utah.gov