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Form Mllp-5a - Termination Of Statement Of Intention To Do Business Under An Assumed Name

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LIMITED LIABILITY PARTNERSmp

STATE OF MAINE

TERMINATION

OF STATEMENT OF

INTENTION

TO DO BUSINESS

UNDER AN ASSUMED NAME

Deputy Secretary of State

A True Copy When

Attested

By Signature

Deputy Secretary of State

(Name of Limited Liability Partnership)

Pursuant to 31 MRSA §805.5., the undersigned, a limited liability partnership (formed under the laws of the State of Maine) (formed

under the laws of the State of,

and authorized to do business in Maine), gives notice of its intention to

terminate the use of an assumed name:

FIRST:

The address of the registered office of the limited liability partnership in the State of Maine is

(street, city, state am zip code)

SECOND:

The limited liability partnership intends to terminate the assumed name of

PARTNER(S)*

DATED

(tyPe or print name aOO capacity)

(signature)

For Partner(s) which are Entities

Name of Entity

(authorized signattlre)

(tyPe or print name am capacity)

*Certificate ~

be signed by at least one partner (§826.1.B. and §860.1.).

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, SECRETARYOF STATE,

101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101

FORM NO. MLLP-5A Rev.7/2000

TEL. (201) 287-4195

Form Mllp-5a - Termination Of Statement Of Intention To Do Business Under An Assumed Name