Form Mllp-12f - Statement Of Intention To Do Business Under An Assumed Name Only Form - State Of Maine

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FOREIGN
LIMITED
LIABILITY
p AR TNERSmP
STATE OF MAINE
STATEMENT OF INTENTION
TO
DO BUSINESS UNDER AN
ASSUMED NAME ONL y
(Name of Limited Liability Partnership in Jurisdiction of Organization)
Pursuant to 31 MRSA §803.2.B., the undersigned limited liability partnership executes and delivers for filing this statement of intent:
FIRST:
The address of the registered office of the limited liability partnership in the State of Maine is
(street, city, state aIx1 zip code)
SECOND:
The limited liability
partnership 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 organization,
but shall instead do business in this State under the assumed
name of
AUTHORIZED SIGNATURE(S)*
DATED
(type or print name aIxi capacity)
(signarore)
For Authorized Signature(s) on behalf of Entities
Name of Entity
By
(tyPe or print name arKl capacity)
(authorized signamre)
*Certificate
~
be signed by at least one 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. MLLP-12F Rev.8/2000
TEL. (207} 287-4195

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