Filing Fee $90.00 FOREIGN LIMITED LIABILITY PARTNERSHIP STATE OF MAINE CANCELLATION OF AUTHORITY TO DO BUSINESS _____________________ Deputy Secretary of State A True Copy When Attested By Signature ______________________________________ (Name of Limited Liability Partnership in Jurisdiction of Organization) _____________________ Deputy Secretary of State Pursuant to 31 MRSA §857, the undersigned foreign limited liability partnership hereby cancels its authority to do business in the State of Maine and states the following: FIRST: If different, the name under which the limited liability partnership applied for authority to do business in the State of Maine pursuant to 31 MRSA §803.1.A. or 31 MRSA §803.2.B. is ________________________________________________________________________________________________ SECOND: The jurisdiction of its organization is _________________________________________________________________ THIRD: The date on which it was authorized to do business in the State of Maine is __________________________________ FOURTH: The limited liability partnership is not as of the date of this application for cancellation doing business in Maine and hereby cancels its authority to do business in this State. FIFTH: The limited liability partnership revokes the authority of its registered agent in Maine to accept service of process; it consents that process in any action, suit or proceeding based upon any cause of action arising in Maine prior to the date of filing this application may be served on the Secretary of State after the date of the filing of this application. SIXTH: The address of the principal or registered office of the limited liability partnership, wherever located, is ________________________________________________________________________________________________ (street, city, state and zip code) FORM NO. MLLP-12B (1 of 2) American LegalNet, Inc. www.FormsWorkFlow.com DATED __________________________ Authorized Signature(s)* ___________________________________________________ (signature) ___________________________________________________ (type or print name and capacity) For Authorized Signature(s) on behalf of Entities Name of Entity _________________________________________________________________________________________________ By ________________________________________________ (authorized signature) ___________________________________________________ (type or print name and capacity) *Certificate MUST be signed by (1) at least one 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 Secretary of State. SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE, 101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101 FORM NO. MLLP-12B (2 of 2) Rev. 8/1/2004 TEL. (207) 624-7752 American LegalNet, Inc. www.FormsWorkFlow.com Filer Contact Cover Letter To: Department of the Secretary of State Division of Corporations, UCC and Commissions 101 State House Station Augusta, ME 04333-0101 Tel. (207) 624-7752 Name of Entity (s): _______________________________________________________________________ _______________________________________________________________________ List type of filing(s) enclosed (i.e. Articles of Incorporation, Articles of Merger, Articles of Amendment, Certificate of Correction, etc.) Attach additional pages as needed. ________________________________________________________________________ ________________________________________________________________________ Special handling request(s): (check all that apply) Hold for pick up Expedited filing - 24 hour service ($50 additional filing fee per entity, per service) Expedited filing - Immediate service ($100 additional filing fee per entity, per service) Total filing fee(s) enclosed: $ ________________ Contact Information ­ questions regarding the above filing(s), please call or email: (failure to provide a contact name and telephone number or email address will result in the return of the erroneous filing (s) by the Secretary of State's office) ___________________________________ (Name of contact person) ___________________________________ (Daytime telephone number) ____________________________________________________ (Email address) The enclosed filing(s) and fee(s) are submitted for filing. Please return the attested copy to the following address: ______________________________________________________________________________ (Name of attested recipient) _____________________________________________________________________________________________ (Firm or Company) _____________________________________________________________________________________________ (Mailing Address) _____________________________________________________________________________________________ (City, State & Zip) American LegalNet, Inc. www.FormsWorkFlow.com