Filing Fee $20.00
LIMITED LIABILITY PARTNERSHIP
STATE OF MAINE
TERMINATION OF STATEMENT OF
_____________________
INTENTION TO DO BUSINESS UNDER
Deputy Secretary of State
AN ASSUMED OR FICTITIOUS NAME
A True Copy When Attested By Signature
_____________________
______________________________________
Deputy Secretary of State
(Real Name of Limited Liability Partnership)
Pursuant to 31 MRSA §805-A.8, the undersigned limited liability partnership executes and delivers the following Termination of
Statement of Intention to do Business Under an Assumed or Fictitious Name:
FIRST:
The limited liability partnership no longer intends to transact business under an assumed or fictitious name.
SECOND:
The limited liability partnership intends to terminate the assumed or fictitious name of
______________________________________________________________________________________________.
PARTNER(S)*
DATED __________________________
___________________________________________________
___________________________________________________
(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)
*Certificate MUST be signed by at least one partner
(§826.1.B
and §860.1).
The execution of this certificate constitutes an oath or affirmation under the penalties of false swearing under
Title 17-A, section
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-5A Rev. 7/1/2003
TEL. (207) 624-7752