DATED
GENERAL PARTNER(S)*
(signattlre)
(tyPe or print name)
For General Partner(s) which are Entities
Name of Entity
By
THE
FOLWWING
SHALL
BE
COMPLETED
BY
THE
REGISTERED
AGENT
UNLESS
11llS
DOCUMENT
IS
ACCOMPANIED
BY FORM
MLPA-18
(§407.1-A.).
The undersigned hereby accepts the appointment as registered agent for the above named limited partnership.
REGISTERED AGENT
DATED
(tyPe or print name)
(signattlre)
For Registered Agent which is a Corporation
Name of Corporation
By
(audlorized signamre)
(type or print name and capacity)
*Certificate ~
be signed by
(I)
at least one g~neral 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, SECRETARYOF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MLPA-3
Rev.8/2000
TEL. (207) 287-4195