Form Mllp-12e - Notice Of Resignation Of Registered Agent Page 2

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RESIGNING REGISTERED AGENT*
DATED
(type or print name)
(signattlre)
For a Resigning Registered Agent which is a Corporation
Name of Corporation
By
(authorized signature)
(type or print name and capacity)
THE FOLLOWING
SHALL
BE COMPLETED
BY THE SUCCESSOR REGISTERED
AGENT
UNLESS TIllS
DOCUMENT
IS ACCOMPANIED
BY FORM
MLLP-18
(§854.2-A.).
The undersigned hereby accepts the appointment as registered agent for the above-named limited liability partnership(s),
REGISTERED AGENT
DATED
(type or print name)
(signamre)
For Registered Agent which is a Corporation
Name of Corporation
By
(tyPe or print name aIKl capacity)
(authorized signatt1re)
*Certificate MUST be signed by the re2istered a2ent (§854.4.).
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-12E Rev.712000
TEL. (20?) 287-4195

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