Form Mnp-3 - Change Of Clerk/secretary And/or Address Form - State Of Maine Page 2

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DATED _________________________
*By ____________________________________________________
(signature)
____________________________________________________
(type or print name and capacity)
*By ____________________________________________________
(signature)
____________________________________________________
(type or print name and capacity)
*This document MUST be signed by the clerk or secretary
(1)
Please remit your payment made payable to the Maine Secretary of State.
SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MNP-3 (1 of 2) 4/18/2006
TEL. (207) 624-7752

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