Form Mllp-3 - Change Of Registered Agent Onl Y Or Change Of Registered Agent And Registered Office Page 2

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P ARTNER(S)*
DATED
(signature)
(tyPe or print name and capacity)
For Partner(s) which are Entities
Name of Entity
By
(authorized signattlre)
(tyPe or print name aixl capacity)
THE
FOLLOWING
SHALL
BE
COMPLETED
BY
THE
REGISTERED
AGENT
UNLESS
TInS
DOCUMENT
IS
ACCOMPANIED
BY FORM
MLLP-18
(§807.2.).
The undersigned hereby accepts the appointment as registered agent for the above-named limited liability partnership.
REGISTERED AGENT
DATED
(type or print name)
(signature)
For Registered Agent which is a Corporation
Name of Corporation
By
(authorized signattlre)
(type or print name am capacity)
*Certificate MUST be signed by at least one oartner (§826.1.B.).
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, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MLLP-3
Rev. 712000
TEL. (201) 287-4195

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