Form Mbca-14 - Application For Excuse - 2000

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Filing Fee $20.00
DOMESTIC
BUSINESS CORPORATION
STATE OF MAINE
APPLICATION FOR EXCUSE
Deputy Secretary of State
A True Copy When Attested By Signature
______________________________________
Deputy Secretary of State
(Name of Corporation)
Pursuant to 13-A MRSA §1301.4, the undersigned corporation applies to the Secretary of State of Maine to be excused:
President
Treasurer
I,
Clerk or Secretary
(circle title)
of the above named corporation, a corporation duly organized under the laws of the State of Maine, certify that said corporation ceased
to transact business on (date) _________________________, and is not indebted to the State of Maine on account of any fees or
penalties accrued. Application is made to be excused from further filing an annual report with the Secretary of State of Maine, so long
as the corporation in fact transacts no business.
I further certify that all required Annual Reports have been filed with the Secretary of State. (Note: If the excuse process is
completed on or before June 1st, then the Annual Report covering the previous calendar year is not required.)
DATED
(signature)
NOTE: The excuse is effective upon acceptance by the Office of the Secretary of State.
SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MBCA-14 Rev. 7/2000
TEL. (207) 287-4195

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