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