Filing Fee for an Assumed Name $125.00 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 _____________________ Deputy Secretary of State A True Copy When Attested By Signature ______________________________________ (Real Name of Limited Partnership) _____________________ Deputy Secretary of State 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) American LegalNet, Inc. www.FormsWorkFlow.com THIRD: (Foreign Limited Partnership Only) Jurisdiction of organization ______________________________________________________ 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, ME 04333-0101 Telephone Inquiries: (207) 624-7752 Email Inquiries: CEC.Corporations@Maine.gov Form No. MLPA-5 (2 of 2) Rev. 7/1/2007 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