Form Mbca-1a - Transfer Of Reserved Name Business Corporation - 2003
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1Filing Fee $20.00
BUSINESS CORPORATION
STATE OF MAINE
TRANSFER OF RESERVED NAME
_____________________
Deputy Secretary of State
A True Copy When Attested By Signature
_____________________
Deputy Secretary of State
Pursuant to
13-C MRSA
§402.2, the undersigned transferor executes and delivers the following Transfer of Reserved Name:
_____________________________________________________________________________________________________________
(Name previously reserved pursuant to §402.1)
Name of original applicant _____________________________________________________________________________________
Name of transferee ___________________________________________________________________________________________
Address of transferee __________________________________________________________________________________________
ORIGINAL APPLICANT (Transferor)
DATED __________________________
_________________________________________________
_________________________________________________
(signature of any duly authorized person)
(type or print name and capacity)
This transfer of reserved name will expire 120 days from the date of filing the original application.
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. MBCA-1A 7/1/2003
TEL. (207) 624-7740
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