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Notification By Registered Agent Of Change In Name Or Registered Office Form. This is a Maine form and can be use in Limited Partnership Secretary Of State.
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Tags: Notification By Registered Agent Of Change In Name Or Registered Office, MLPA-12D, Maine Secretary Of State, Limited Partnership
Filing Fee $35.00 for each limited partnership listed
FOREIGN
LIMITED PARTNERSHIP
STATE OF MAINE
NOTICE OF RESIGNATION
OF REGISTERED AGENT
_____________________
Deputy Secretary of State
______________________________________
A True Copy When Attested By Signature
(Name of Limited Partnership)
Names and addresses of additional limited partnerships
are attached hereto as Exhibit ______, and made a part
hereof.
_____________________
Deputy Secretary of State
Pursuant to 31 MRSA §494.4, the undersigned has resigned as the registered agent of the limited partnership(s) named herein and
executes and delivers the following Notice of Resignation of Registered Agent:
FIRST:
The name of its successor registered agent, an individual Maine resident or a corporation, foreign or domestic,
authorized to do business or carry on activities in Maine, and the address of the new registered office shall be (if
none, so indicate)
________________________________________________________________________________________________
(name)
________________________________________________________________________________________________
(physical location - street (not P.O. Box), city, state and zip code)
________________________________________________________________________________________________
(mailing address if different from above)
A statement approving the change to the successor registered agent, executed by each affected limited partnership and
signed by a general partner, is attached.
SECOND:
There being no successor, the limited partnership was informed of the resignation on or about the date of filing of
this certificate. Additionally, a copy of this notice has been sent by certified or registered mail to the registered or
principal office of each limited partnership in the jurisdiction of its organization, as filed with the Secretary of State,
from which the registered agent is resigning as registered agent. An affidavit to this effect, signed by the registered
agent, is attached.
This resignation becomes effective upon filing this certificate with the Secretary of State.
FORM NO. MLPA-12D (1 of 2)
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Resigning Registered Agent*
DATED __________________________
___________________________________________________
___________________________________________________
(type or print name)
(signature)
For a Resigning 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.
The undersigned hereby accepts the appointment as registered agent for the above-named limited partnership(s).
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)
*Certificate MUST be signed 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-12D (2 of 2) Rev. 8/1/2004
TEL. (207) 624-7740
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