Resignation of Officer Director Affidavit-Free PDF

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State of State :

County of :

BEFORE/known by ME, [Notary name] the undersigned authority,


personally appeared
, who by me being first duly sworn, says to the
best of his/her knowledge, information and belief, and under
penalties of perjury:

1. That _______________________ now resigns as an


“individual”(5 USC 552a(2)), a ”person” (26 U.S.C § 7701(a)(1)),
a “resident” (26 U.S.C § 7701(30)), ”employee”( 26 U.S.C §
7701(20)) engaged in “trade or business” (26 U.S.C § 7701 (26))
(Title)
of
The United States, Inc (28 USC § 3002(15))and it’s federal
franchises, affiliates and agencies
a Florida corporation;
2. That the corporation has been notified in writing of the
resignation; and
3. That corporate minutes relating to the resignation are
unavailable.
FURTHER AFFIANT SAYETH NOT.

Affiant

Sworn to and subscribed before me


this th day of the th month , year of our
lord two thousand and twenty _____ .

Witness1: ____________________ date:


Witness2:_____________________ date:

And/or

Notary Public

My commission expires:
Certificate of Service

Department of Homeland Security


Department of Revenue State
Internal Revenue Service Federal
Department of Labor
Department of License
Customs and Border Patrol
Office of Management and Budget Responsibilities

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