Looking for a Maine Secretary Of State Forms And Templates? Download it for free!

Form Mbca-12f - Statement Of Intention To Do Business Under An Assumed Name Only - 2001

Filing Fee $20.00

FOREIGN

BUSINESS CORPORATION

STATE OF MAINE

STATEMENT OF INTENTION TO

DO BUSINESS UNDER AN

Deputy Secretary of State

ASSUMED NAME ONLY

A True Copy When Attested By Signature

______________________________________

Deputy Secretary of State

(Name of Corporation in Jurisdiction of Incorporation)

Pursuant to 13-A MRSA §307, the undersigned, a corporation (incorporated under the laws of the State of ______________________),

executes and delivers for filing this statement of intent:

FIRST:

The address of the registered office of the corporation in the State of Maine is ________________________________

_________________________________________________________________________________________________

(street, city, state and zip code)

SECOND:

The corporation shall not do business in the State of Maine under its true name as it appears above and on the record

in the jurisdiction of incorporation, but shall instead do business in this State under the assumed name of

_________________________________________________________________________________________________

DATED _________________________

*By ____________________________________________________

(signature of any duly authorized individual)

____________________________________________________

(type or print name and capacity)

*This document MUST be signed by any duly authorized individual.

SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE,

101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101

FORM NO. MBCA-12F Rev. 4/16/2001

TEL. (207) 624-7740

Form Mbca-12f - Statement Of Intention To Do Business Under An Assumed Name Only - 2001