Form Mlpa-12a - Foreign Limited Partnership Amended Application For Authority To Do Business - 2004 Page 2
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1
2FIFTH:
The name of each withdrawing general partner is (If no change, so indicate.)
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
Names of additional withdrawing general partners are attached as Exhibit ___, and made a part hereof.
SIXTH:
The new address of the registered or principal office, wherever located, is (If no change, so indicate.)
________________________________________________________________________________________________
(physical location - street (not P.O. Box), city, state and zip code)
________________________________________________________________________________________________
(mailing address if different from above)
AND/OR
If the business, residence or mailing address of any general partner has changed, the new address is (If no change, so
indicate.)
Name
New Address
____________________________________
___________________________________________________
____________________________________
___________________________________________________
____________________________________
___________________________________________________
Names and new addresses of general partners are attached hereto as Exhibit ____, and made a part hereof.
SEVENTH:
Other amendments to the application, if any, are set forth in Exhibit ___ attached hereto and made a part hereof.
DATED __________________________
General Partner(s)*
___________________________________________________
___________________________________________________
(signature)
(type or print name)
For General Partner(s) which are Entities
Name of Entity _________________________________________________________________________________________________
By ________________________________________________
___________________________________________________
(authorized signature)
(type or print name and capacity)
The limited partnership name as used in the State of Maine must contain one of the following: "Limited Partnership", "L.P." or "LP"
(31 MRSA
§403-A). If the addition of these words is the only difference from the limited partnership's real name in its jurisdiction of
organization, no further action is required.
*Certificate MUST be signed by:
(1) at least one general partner OR
(2) any duly authorized person.
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 FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MLPA-12A (2 of 2) Rev. 8/1/2004
TEL. (207) 624-7740
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