Form No. Mllp-12a - Foreign Limited Liability Partnership Amended Application For Authority To Do Business - 2004 Page 2

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FIFTH:
The name and or the business, residence or mailing address of the contact partner has been changed to: (If no
change, so indicate.)
Name
Address
___________________________________
__________________________________________________
SIXTH:
Other amendments to the application, if any, are set forth in Exhibit ___ attached hereto and made a part hereof.
DATED __________________________
Partner(s)*
___________________________________________________
__________________________________________________
(signature)
(type or print name and capacity)
For Partner(s) which are Entities
Name of Entity _______________________________________________________________________________________________
By _______________________________________________
__________________________________________________
(authorized signature)
(type or print name and capacity)
The limited liability partnership name as used in the State of Maine must contain one of the following: "Limited Liability Partnership",
"L.L.P." or "LLP"
(31 MRSA
§803-A). If the addition of these words is the only difference from the limited liability partnership's
real name in its jurisdiction of organization, no further action is required.
*Certificate MUST be signed by
(1) at least one partner OR
(2) any duly authorized person.
The execution of this certificate constitutes an oath or affirmation under the penalties of false swearing under
17-A MRSA
§453.
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. MLLP-12A (2 of 2) Rev. 8/1/2004
TEL. (207) 624-7752

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