Form Mbca-12 - Foreign Business Corporation - Application For Authority To Do Business - 2008 Page 3

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NINTH:
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 corporate records in the state or country under whose law the
foreign corporation is incorporated. The certificate of existence must have been made not more than 90 days prior to
the delivery of this application for filing.
Dated __________________________
*By
___________________________________________________
(signature of any duly authorized officer)
___________________________________________________
(type or print name and capacity)
**The professional corporation name as used in the State of Maine must contain one of the following: “chartered,” “professional
corporation,” “professional association” or “service corporation” or the abbreviation “P.C.,” “P.A.” or “S.C.”.
*This document MUST be signed by any duly authorized officer.
(13-C MRSA
§121.5)
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. MBCA-12 (3 of 3) Rev. 7/1/2008

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