Form Mlpa-11l - Certificate Of Amendment By A Majority In Interest Of The Limited Partners 2004 Page 2

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DATED __________________________
Limited Partner(s)*
___________________________________________________
___________________________________________________
)
(signature)
(type or print name
___________________________________________________
___________________________________________________
(signature)
(type or print name)
___________________________________________________
___________________________________________________
(signature)
(type or print name)
For Limited Partner(s) which are Entities
Name of Entity _________________________________________________________________________________________________
By ________________________________________________
___________________________________________________
(authorized signature)
(type or print name and capacity)
Name of Entity _________________________________________________________________________________________________
By ________________________________________________
___________________________________________________
(authorized signature)
(type or print name and capacity)
Name of Entity _________________________________________________________________________________________________
By ________________________________________________
___________________________________________________
(authorized signature)
(type or print name and capacity)
*Certificate MUST be signed by:
(1) a majority in interest of the limited partners 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 Secretary of State.
SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MLPA-11L (2 of 2) Rev. 8/1/2004
TEL. (207) 624-7752

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