Form Mllp-12 - Application For Authority To Do Business For A Foreign Limited Liability Partnership - Maine Secretary Of State Page 2
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1
2FIFTH:
The name and business, residence or mailing address of the contact partner is
NAME
ADDRESS
____________________________________
___________________________________________________
SIXTH:
The date on which the foreign limited liability partnership first did, or intends to do, business in the State of Maine is
___________________.
SEVENTH:
This application is accompanied by a certificate of existence or a document of similar import duly authenticated by the
Secretary of State or other official having custody of limited liability partnership records in the state or country under
whose law the foreign limited liability partnership is organized. In lieu of a certificate of existence, a copy of the
foreign limited liability partnership’s registration certified or stamped by the Secretary of State or other proper officer in
its domestic jurisdiction is a sufficient equivalent if such an officer does not produce any other type of certificate of
existence. The certificate of existence must have been made not more than 90 days prior to the delivery of this
application for filing.
DATED __________________________
AUTHORIZED SIGNATURE(S)*
___________________________________________________
___________________________________________________
(signature)
(type or print name and capacity)
For Authorized Signature(s) on behalf of Entities
Name of Entity ________________________________________________________________________________________________
By _______________________________________________
___________________________________________________
(authorized signature)
(type or print name and capacity)
Acceptance of Appointment of Registered Agent
The undersigned hereby accepts the appointment as registered agent for the above-named limited liability partnership.
REGISTERED AGENT
DATED __________________________
___________________________________________________
___________________________________________________
(signature)
(type or print name)
For Registered Agent which is a Corporation
Name of Corporation ____________________________________________________________________________________________
By _______________________________________________
___________________________________________________
(authorized signature)
(type or print name and capacity)
Note: If the registered agent does not sign, Form MLLP-18 (§854.2-A) must accompany this document.
The limited liability partnership name as used in the State of Maine must contain one of the following: "Limited Liability Partnership",
"L.L.P." or "LLP" (§803-A). If the addition of these words is the only difference from the limited liability partnership's real name in its
jurisdiction of organization, no further action is required.
*Application MUST be signed by at least one authorized person (§852.2).
The execution of this certificate constitutes an oath or affirmation under the penalties of false swearing under
Title 17-A, section
453.
Please remit your payment made payable to the Maine Secretary of State.
SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MLLP-12 (2 of 2) Rev. 7-1-2003
TEL. (207) 624-7740
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