Filing Fee for an Assumed Name $105.00
Filing Fee for a Fictitious Name $20.00
LIMITED LIABILITY PARTNERSHIP
STATE OF MAINE
STATEMENT OF INTENTION TO DO
_____________________
BUSINESS UNDER AN ASSUMED
Deputy Secretary of State
OR FICTITIOUS NAME
A True Copy When Attested By Signature
_____________________
______________________________________
Deputy Secretary of State
(Real Name of Limited Liability Partnership)
Pursuant to 31 MRSA §805-A, the undersigned limited liability partnership executes and delivers the following Statement of Intention to
do Business Under an Assumed or Fictitious Name:
FIRST:
("X" one box only.)
assumed name (§805-A.1)
fictitious name (§805-A.2)
The limited liability partnership intends to transact business under the assumed or fictitious name of
______________________________________________________________________________________________.
Please note: A fictitious name is a name adopted by a foreign limited liability partnership authorized to transact business in this
State because its real name is unavailable pursuant to §803-A.
Complete the following if applicable:
SECOND:
If such assumed name is to be used at fewer than all of the limited liability partnership's places of business in this State,
the location(s) where it will be used is (are):
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Additional locations are attached hereto as Exhibit ___, and made a part hereof.
THIRD:
(Foreign Limited Liability Partnership Only)
Jurisdiction of organization ______________________________________________________ and the date on which
the limited liability partnership was authorized to transact business in Maine __________________________________
FORM NO. MLLP-5 (1 of 2)