Form Mllc-11t - Form For Articles Of Amendment By Liquidating Trustees Page 2

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DATED
LIQUIDA
TING
TRUSTEE(S)*
(signature)
(type or print name)
(signattlre)
(type or print name)
(signattlre)
(type or print name)
For Liquidating Trustee(s) which are Entities
Name of Entity
By
(authorized signature)
(type or print name aIKi capacity)
Name of Entity
By
(authorized signattlre)
(type or print name and capacity)
Name of Entity
By
(authorized signature)
(type or print name a1xl capacity)
* Articles ~
be signed by
(I)
allliauidatio2
trustees 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
SUBWT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MLLC-IIT
Rev.8/2000
TEL. (207} 287-4195

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