Secretary of State 
                                                                               Business Programs Division 
                                                                                          Business Entities 
                                                                     1500 11th Street, Sacramento, CA 95814 
                                                              P.O. Box 944260, Sacramento, CA 94244-2600 

                                Business Entities Submission Cover Sheet

                For faste stservice, file online at                bizfileOnline.sos.ca.gov. 

Instructions: 

• Complete and include this form with your paper submission. This form will not be made part of
  the filed document.

• Make all checks or money orders payable to the Secretary of State.

• In-person submissions (excluding Statements of Information): $15                special handling fee  D. o not
  include                 a $15 special handling fee when submitting documents by mail.

• All submissions are reviewed in the date order of receipt ,           with online submissions given priority.
  For updated processing time information, visit www.sos.ca.gov/business/be/processing-dates.

•    obtainTo a certified copy,         includ ecertification fees with your submission.

                Note: All correspondence related to your submission will be 
                sent to the name and address on your check or money order.

Contact Person                  (Please type or print legibly): 

First Name:                                                Last Name: 

Phone Number:                                             Email:

Entity Information (Please type or print legibly): 

Entity Name:  

Entity Number (if applicable): 

Comments: 

                                                                               Clear Form Print Form
Submission Cover Sheet (REV 03/2024) 

                    Secretary of State                          RA-100

                    Resignation of Agent For Service of Process 

There is No Fee for filing a Resignation of Agent Upon Whom Process 
May be Served 

Certification Fee (Optional) –   $5.00 

Note:  If the entity from which you are resigning is a corporation, 
limited liability company, or limited partnership, you can go to the 
California Business Search at bizfileOnline.sos.ca.gov to verify the 
exact name of the entity, entity file number, and that you are currently 
listed as agent for service of process. 
                                                                                    This Space For Office Use Only 

1. Entity Name (Enter the exact name of the entity from which you are resigning as agent for service of process.)

2. Entity Number      (Enter the Entity N  umber issued to the business entity by the California Secretary of State.)

3. Name of Resigning Agent for Service of Process               (Enter your name, or if the agent for service of process is a corporation,
                                                                enter the name of that corporation.) 

4. Statement of Resignation (The following statement declares your intent to resign as agent for service of process.  Do not alter.) 

The undersigned hereby resigns as agent upon whom process may be served in California for the above-
name entity. 

5. Read and Sign Below    (Office or title not required.  Do not use a computer generated signature.)

I declare I am the person who signed this document, which execution is my act and deed. 

 ___________________________________________________________________________ 
Signature of Resigning Agent for Service of Process or  
Signature of Representative of Resigning Agent,  ifthe agent for service of process is a corporation

RA-100 (REV 03/2022)                                                                                                 20 22California Secretary of State 
                                                                                                                          bizfileOnline.sos.ca.gov