Form Mlpa-11c - Cancellation Of Certificate Of Limited Partnership - Maine Secretary Of State Page 2

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DATED __________________________
AUTHORIZED SIGNATORY(IES)*
___________________________________________________
____________________________________________________
(signature of individual)
(type or print name and capacity)
___________________________________________________
____________________________________________________
(signature of individual)
(type or print name and capacity)
___________________________________________________
____________________________________________________
(signature of individual)
(type or print name and capacity)
For Authorized Signatory(ies) which are Entities
Name of Entity __________________________________________________________________________________________________
By ________________________________________________
____________________________________________________
(authorized signature)
(type or print name and capacity)
Name of Entity __________________________________________________________________________________________________
By ________________________________________________
____________________________________________________
(authorized signature)
(type or print name and capacity)
Name of Entity __________________________________________________________________________________________________
By ________________________________________________
____________________________________________________
(authorized signature)
(type or print name and capacity)
*Certificate MUST be signed by
(1) all general partners OR
(2) if neither the general nor the limited partners are winding up the limited partnership's affairs, then by all liquidating trustees
OR
(3) if the limited partners are winding up the limited partnership's affairs, then by a majority in interest of the limited partners
OR
(4) any duly authorized person.
The execution of the 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. MLPA-11C
Rev. 4/16/2001
TEL. (207) 624-7740

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