Acknowledged Resignation

Date:

To:

[Name of Corporation]

[Address ofCorporation]

Dear

Please be advised that the undersigned hereby resigns as ______________, of the corporation effective upon acceptance.

Please acknowledge acceptance of said resignation on behalf of the corporation.

Sincerely,

___________________________

Name and Position

___________________________

The foregoing has been accepted pursuant to vote of the directors/stockholders of the corporation effective _, 20 _.

___________________________

For the corporation