DATED
LIMITED
PARTNER(S)*
(signature)
(type or print name)
(signature)
(tyPe or print name)
(signature)
(tyPe or print name)
For Limited Partner(s) which are Entities
Name of Entity
By
Name of Entity
By
(authorized signature)
(type or print name and capacity)
Name of Entity
By
(authorized signature)
(tyPe or print name and capacity)
*Certificate ~
be signed by
(I)
a majority in inter~
of th~ limited partners 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-IIL
Rev.8/2000
TEL. (201) 287-4195