Form Mlpa-2 - Applica Tion For Registration Of Name Page 2

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DATED
AUTHORIZED
SIGNA TURE(S)*
(signature)
(type or print name and capacity)
For Authorized Signature(s) on behalf of Entities
Name of Entity
By
(authorized signamre)
(type or print name aOO capacity)
.THE Fn.ING
OF nus
APPLICATION
DOES NQL AU11IORIZE
A LIMITED
PARTNERSmP
TO DO BUSINESS IN
MAINE.
*Certificate MUST be signed by at least one general partner (§499.1.).
The execution of this certificate constitutes an oath or aff1rInation 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-2
Rev.7/2000
TEL. (207} 287-4195

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