Form Mbca-12 - Application For Authority To Do Business Form - State Of Maine

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Filing Fee $250.00
FOREIGN
BUSINESS CORPORATION
STATE OF MAINE
APPLICATION FOR
AUTHORITY TO DO BUSINESS
Deputy Secretary of State
A True Copy When Attested By Signature
______________________________________
Deputy Secretary of State
(Name of Corporation in Jurisdiction of Incorporation)
Pursuant to 13-A MRSA §1202, the undersigned corporation applies for authority to do business in the State of Maine:
FIRST:
If different, the name under which it proposes to apply for authority to do business in the State of Maine pursuant to
§301 (if not applicable, so indicate)
_________________________________________________________________________________________________
! Form MBCA-12F accompanies this application.
SECOND:
Its jurisdiction of incorporation is ____________________ and the date of incorporation is ______________________
THIRD:
Business(es) it is authorized to do under the laws of its jurisdiction of incorporation ____________________________
_________________________________________________________________________________________________
FOURTH:
Does it seek authority to engage in all businesses authorized in its jurisdiction and allowed by Maine Law?
! Yes ! No If no, specify business(es) for which authority is sought ___________________________________
_________________________________________________________________________________________________
FIFTH:
Address of the registered or principal office, wherever located, is __________________________________________
_________________________________________________________________________________________________
(street, city, state and zip code)
SIXTH:
The name of its proposed Registered Agent, an individual resident in Maine or a corporation authorized to do business
in Maine, and the physical location of the proposed registered office in Maine shall be:
_________________________________________________________________________________________________
(name)
_________________________________________________________________________________________________
(physical location - street (not P.O. Box), city, state and zip code)
_________________________________________________________________________________________________
(mailing address if different from above)

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