DATED __________________________
PARTNER(S)*
___________________________________________________
____________________________________________________
(signature)
(type or print name and capacity)
For Partner(s) which are Entities
Name of Entity __________________________________________________________________________________________________
By ________________________________________________
____________________________________________________
(authorized signature)
(type or print name and capacity)
(Complete next section ONLY if agent has changed.)
THE FOLLOWING MUST BE COMPLETED BY THE REGISTERED AGENT UNLESS THIS DOCUMENT IS
ACCOMPANIED BY FORM MLLP-18 (§807.2.).
The undersigned hereby accepts the appointment as registered agent for the above named limited liability partnership.
REGISTERED AGENT
DATED __________________________
___________________________________________________
____________________________________________________
)
(signature)
(type or print name
For Registered Agent which is a Corporation
Name of Corporation ______________________________________________________________________________________________
By ________________________________________________
____________________________________________________
(authorized signature)
(type or print name and capacity)
*Certificate MUST be signed by
(1) at least one 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, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MLLP-6A
Rev. 4/16/2001
TEL. (207) 624-7752