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Fill and Sign the Or Fictitious Name Form

Fill and Sign the Or Fictitious Name Form

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Filing Fee for an Assumed Name $125.00 _____________________ Deputy Secretary of State A True Copy When Attested By Signature _____________________ Deputy Secretary of State Filing Fee for a Fictitious Name $40.00 LIMITED PARTNERSHIP STATE OF MAINE STATEMENT OF INTENTION TO DO BUSINESS UNDER AN ASSUMED OR FICTITIOUS NAME ______________________________________ (Real Name of Limited Partnership) Pursuant to 31 MRSA §1308.2 or 31 MRSA §1415.3 , the undersigned limited partnership executes and delivers the following Statement of Intention to do Business Under an Assumed or Fictitious Name: FIRST: ("X" one box only.) assumed name ( 31 MRSA §1308.2 ) fictitious name ( 31 MRSA §1415.3 ) The limited partnership intends to transact business under the assumed or fictitious name of _______________________________________________________________________\ ________________________. Please note: A fictitious name is a name adopted by a foreign limited partnership authorized to transact business in this State because its real name is unavailable for use under 31 MRSA §1308.1 . Complete the following if applicable: SECOND: If such assumed name is to be used at fewer than all of the limited partnership's places of business in this State, the location(s) where it will be used is (are): _______________________________________________________________________\ _________________________ _______________________________________________________________________\ _________________________ _______________________________________________________________________\ _________________________ _______________________________________________________________________\ _________________________ Additional locations are attached hereto as Exhibit ___, and made a part hereof. Form No. MLPA-5 (1 of 2) THIRD: (Foreign Limited Partnership Only) Jurisdiction of organiza tion ______________________________________________________ and the date on which the limited partnership was authorized to transact business in Maine ________________________________________ . 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) *Statement MUST be signed by: For a domestic limited partnership by at least one general partner listed in the certificate ( 31 MRSA §1324.1.J ). For a foreign limited partnership by at least one general partner of the foreign limited partnership ( 31 MRSA §1324.1.M ). The execution of this statement 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 form to: Secretary of State Division of Corporations, UCC and Commissions 101 State House Station Augusta, M E 04333-0101 Telephone Inquiries: (207) 624-7752 Email Inquiries: CEC.Corporations@Maine.gov Form No. MLPA-5 (2 of 2) Rev. 7/1/2007

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