Form Mllc-9a - Statement Of Withdrawal Of Member - State Of Maine

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DOMESTIC
LIMITED
LIABILITY
COMPANY
STATE OF MAINE
STATEMENT OF WITHDRAWAL
OF MEMBER
(Name of Limited Liability Company)
Pursuant to 31 MRSA §694, the undersigned member .QB limited liability company executes and delivers for filing this statement of
withdrawal of member:
The following
member has withdrawn from the above-named limited liability
company.
(type or print name)
DATED
WITHDRAWING MEMBER
(signature)
(type or print name)
The following may be completed by the limited liability company, if the withdrawing member did not sign. *
MANA GER(S)/MEMBER(S) *
(signattlre)
(tyPe or print name aOO capacity)
Name of Entity
By
(authorized signature)
(type or print name aIxi capacity)
*Statement MUST be signed by
(I)
at least one man@ger OR
(2)
at least one member if the limited liability company is managed by the members OR
(3)
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.
A statement of withdrawal of a member is an optional filing. It may be used to cut off the ability of a withdrawing member to
bind the limited liability company, particularly in a member-managed limited liability company.
SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARYOF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MLLC-9A
Rev.7/2000
TEL. (201) 287-4195

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