Form Mlpa-12 - Application For Authority To Do Business Foreign Limited Partnership (Page 2 of 2) in pdf

FIFTH:

The name and business, residence or mailing address of each general partner is:

NAME

ADDRESS

____________________________________

___________________________________________________

____________________________________

___________________________________________________

____________________________________

___________________________________________________

Names and addresses of additional general partners are attached hereto as Exhibit ____, and made a part hereof.

SIXTH:

The date on which the foreign limited partnership first did, or intends to do, business in the State of Maine is

___________________.

SEVENTH:

This application is accompanied by a certificate of existence or a document of similar import duly authenticated by the

Secretary of State or other official having custody of limited partnership records in the state or country under whose law

the foreign limited partnership is organized. The certificate of existence must have been made not more than 90 days

prior to the delivery of this application for filing.

DATED __________________________

GENERAL PARTNER(S)*

___________________________________________________

(signature)

(type or print name)

For General Partner(s) which are Entities

Name of Entity ________________________________________________________________________________________________

By _______________________________________________

__________________________________________________

(authorized signature)

(type or print name and capacity)

Acceptance of Appointment of Registered Agent

The undersigned hereby accepts the appointment as registered agent for the above-named limited partnership.

REGISTERED AGENT

DATED __________________________

___________________________________________________

(signature)

(type or print name)

For Registered Agent which is a Corporation

Name of Corporation ____________________________________________________________________________________________

By ________________________________________________

___________________________________________________

(authorized signature)

(type or print name and capacity)

Note: If the registered agent does not sign, Form MLPA-18 (§494.2-A) must accompany this document.

The limited partnership name as used in the State of Maine must contain one of the following: "Limited Partnership", "L.P." or "LP"

(§403-A). If the addition of these words is the only difference from the limited partnership's real name in its jurisdiction of organization,

o further action is required.

*Certificate MUST be signed by at least one general partner.

T he execution of this certificate constitutes an oath or affirmation under the penalties of false swearing under

Title 17-A, section

453.

P lease 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. MLPA-12 (2 of 2) Rev. 7/1/2003

TEL. (207) 624-7740

Form Mlpa-12 - Application For Authority To Do Business Foreign Limited Partnership Page 2

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