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Change Of Registered Agent Only Or Change Of Registered Agent And Registered Office Form. This is a Maine form and can be use in Limited Partnership Secretary Of State.
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Tags: Change Of Registered Agent Only Or Change Of Registered Agent And Registered Office, MLPA-12C, Maine Secretary Of State, Limited Partnership
Filing Fee $35.00 for each limited partnership listed
FOREIGN
LIMITED PARTNERSHIP
STATE OF MAINE
CHANGE OF REGISTERED AGENT
and/or
REGISTERED OFFICE
_____________________
Deputy Secretary of State
A True Copy When Attested By Signature
______________________________________
_____________________
Deputy Secretary of State
(Name of Limited Partnership)
Pursuant to 31 MRSA §494.6, the undersigned limited partnership executes and delivers the following Change of Registered Agent
and/or Registered Office:
FIRST:
("X" all boxes that apply)
A.
change of registered office
B.
change of registered agent and registered office
C.
change of registered agent
D.
change in name of current registered agent
SECOND:
The name and registered office of the registered agent appearing on the record in the Secretary of State's office:
________________________________________________________________________________________________
(name)
________________________________________________________________________________________________
(street, city, state and zip code)
THIRD:
Complete this Item as follows based on your selection in Item First:
A.
B.
C.
D.
The address of the new registered office (provide address information only);
The name and registered office of the new registered agent, who must be an individual Maine resident or a
corporation, foreign or domestic, authorized to do business or carry on activities in Maine (provide name
and address information);
The name of the new registered agent, who must be an individual Maine resident or a corporation, foreign
or domestic, authorized to do business or carry on activities in Maine (provide name only); OR
The new name of the current registered agent (provide name only).
________________________________________________________________________________________________
(name of new registered agent or new name of current registered agent)
________________________________________________________________________________________________
(physical location, not P.O. Box – street, city, state and zip code)
________________________________________________________________________________________________
(mailing address if different from above)
FORM NO. MLPA-12C (1 of 2)
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FOURTH:
The undersigned registered agent of the following limited partnership(s), who has changed the address of the
registered office OR who has changed his or her name, has notified each limited liability partnership of the change
indicated in Item Third A or D:
Name of Limited Partnership
Jurisdiction
Date Authorized to Transact
Business in Maine
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
Names of additional limited partnerships attached hereto as Exhibit ___, and made a part hereof.
Note:
The following must be signed by the proper person as designed below.*
DATED _________________________
*By ___________________________________________________
(signature)
___________________________________________________
(type or print name and capacity)
Acceptance of Appointment of New Registered Agent
The undersigned hereby accepts the appointment as registered agent for the above-named limited partnership.
Registered Agent
DATED __________________________
___________________________________________________
(signature)
___________________________________________________
(type or print name)
For Registered Agent which is a Corporation
Name of Corporation _____________________________________________________________________________________________
By ________________________________________________
___________________________________________________
(authorized signature)
(type or print name and capacity)
Note: If this document changes the Registered Agent and the new Registered Agent does not sign this form, then
Form MLPA-18 (31 MRSA §494.2-A) must accompany this document.
*This certificate MUST be signed as follows:
(1) if Item First, A. was selected, then by the Registered Agent OR
(2) if Item First, B. or C. was selected, at least by at least one general partner (31 MRSA §499) OR
(3) if Item First, D. was selected, then by the Registered Agent.
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 Maine Secretary of State.
SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MLPA-12C (2 of 2) Rev. 8/1/2004
TEL. (207) 624-7740
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