Form Mllc-2 - Application For Registration Of Name - 2011 Page 2

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DATED __________________________
*By ___________________________________________________
(signature of authorized person)
___________________________________________________
(type or print name and capacity)
The filing of this application does not authorize a limited liability company to do business in Maine.
*Pursuant to
31 MRSA
§1676.E, this application MUST be signed by the person on whose behalf the application is being delivered.
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 form to: Secretary of State
Division of Corporations, UCC and Commissions
101 State House Station
Augusta, ME 04333-0101
Telephone Inquiries: (207) 624-7752
Email Inquiries:
CEC.Corporations@Maine.gov
Form No. MLLC-2 (2 of 2) 7/1/2011

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