Form Mlpa-12f - Statement Of Intention To Do Business Under An Assumed Name Only - Maine Secretary Of State

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Filing Fee $20.00
FOREIGN
LIMITED PARTNERSHIP
STATE OF MAINE
STATEMENT OF INTENTION TO
DO BUSINESS UNDER AN
Deputy Secretary of State
ASSUMED NAME ONLY
A True Copy When Attested By Signature
______________________________________
Deputy Secretary of State
(Name of Limited Partnership in Jurisdiction of Organization)
Pursuant to 31 MRSA §403.2.B., the undersigned limited partnership executes and delivers for filing this statement of intent:
FIRST:
The address of the registered office of the limited partnership in the State of Maine is __________________________
_________________________________________________________________________________________________
(street, city, state and zip code)
SECOND:
The limited partnership shall not do business in the State of Maine under its true name as it appears above and on the
record in the jurisdiction of organization, but shall instead do business in this State under the assumed name of
_________________________________________________________________________________________________
GENERAL PARTNER(S)*
DATED __________________________
___________________________________________________
____________________________________________________
)
(signature)
(type or print name
For General Partner(s) which are Entities
Name of Entity __________________________________________________________________________________________________
By ________________________________________________
____________________________________________________
(authorized signature)
(type or print name and capacity)
*Certificate MUST be signed by
(1) at least one general partner OR
(2) any duly authorized person.
The execution of this certificate constitutes an oath or affirmation under the penalties of false swearing under Title 17-A, section 453.
SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MLPA-12F
Rev. 4/16/2001
TEL. (207) 624-7740

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