Form Mlpa - Certificate Of Election To Be Governed By The Uniform Limited Partnership Page 2

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DATED __________________________
Authorized Signatories*
___________________________________________________
___________________________________________________
)
(signature)
(type or print name
___________________________________________________
___________________________________________________
)
(signature)
(type or print name
___________________________________________________
___________________________________________________
)
(signature)
(type or print name
For Authorization Signatories 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 as follows:
If Item Third is not checked by at least one general partner listed in the certificate.
(31 MRSA
§1324.1.E.1)
If Item Third is checked by ALL general partners listed in the certificate.
(31 MRSA
§1324.1.B)
**In addition to the words “limited liability limited partnership,” the name must contain one of the following: “professional,”
“chartered,” “professional association” or “service” or the abbreviation “P.A.,” “PLLP,” P.L.L.L.P.,” or “S.L.L.L.P”. Examples of
professional services are accountants, attorneys, chiropractors, dentists, registered nurses and veterinarians. (This is not an inclusive list –
see
13 MRSA
§723.7.)
The execution of this certificate constitutes an oath or affirmation under the penalties of false swearing under
17-A MRSA
§453.
Please remit your payment made payable to the Maine Secretary of State.
Submit completed form to:
Secretary of State
Division of Corporations, UCC and Commissions
101 State House Station
Augusta, ME 04333-0101
Telephone Inquiries: (207) 624-7752
Email Inquiries:
CEC.Corporations@Maine.gov
Form No. MLPA-Election (2 of 2) Rev. 7/1/2007

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