Filing Fee $250.00
FOREIGN
BUSINESS CORPORATION
STATE OF MAINE
APPLICATION FOR
AUTHORITY TO DO BUSINESS
_____________________
(Check box only if applicable.)
Deputy Secretary of State
This is a professional corporation pursuant to
13 MRSA Chapter
22-A.**
A True Copy When Attested By Signature
_____________________
______________________________________
Deputy Secretary of State
(Name of Corporation in Jurisdiction of Incorporation)
Pursuant to
13-C MRSA
§1503, the undersigned corporation executes and delivers the following Application for Authority to do
Business:
FIRST:
The name under which it proposes to apply for authority to do business in the State of Maine is
______________________________________________________________________________________________.
SECOND:
(For professional corporations only)
All of the professional corporation’s shareholders, not less than a majority of its directors and all of its officers other
than its clerk, secretary and treasurer, if any, are licensed in one or more states to render a professional service
described in its articles of incorporation.
THIRD:
If the real corporate name is not available, the fictitious name under which it proposes to apply for authority to do
business in the State of Maine: (If not applicable, so indicate.)
_______________________________________________________________________________________________
Form MBCA-5 accompanies this application.
A fictitious name is a name adopted by a foreign corporation authorized to transact business in this State because
its real name is unavailable pursuant to §401.
FOURTH:
Its jurisdiction of incorporation is _________________________________ (state or country) and the date of
incorporation is ______________________.
FIFTH:
Address of the principal office, wherever located, is:
_______________________________________________________________________________________________
(street, city, state and zip code)
_______________________________________________________________________________________________
(mailing address if different from above)
FORM NO. MBCA-12 (1 of 3)