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

 For faster service, f ile online at bizfileOnline@sos.ca.gov.  
  
 Instructions:  

 •   Complete and include this form with your  paper  submission.  This  information only will be 
     used to communicate with you about the submission, if needed.   This form will be treated 
     as correspondence and 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 handling fee; do not include 
     a $15 handling fee when submitting documents by mail. 

 •   Standard processing time for submissions to this office is approximately 5 business days from 
     receipt. All submissions are reviewed in the date order o   f receipt   with online submissions      given 
     priority. For updated            processing time information, visit            
     www.sos.ca.gov/business/be/processing-dates. 
         
 Optional Copy and Certification Fees:  
 •   If applicable, include optional copy and certification fees with your submission. 

 •   For applicable copy and certification fee information, refer to the instructions of the specific 
     form you are submitting. 
         
Contact Person:  (Please type or print legibly)  
         
First Name:                                                           Last Name:   
 
Phone (optional):  
 
Entity Information:  (Please type or print legibly)  
 
Name:   
 
Entity Number (if applicable):   
 
Comments:  
         
Submission Cover Sheet (REV 03/2022)                                                Clear Form Print Form

                    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