Statement To Add/delete/change Location Where An Assumed Name Is Used In Maine Form Page 2
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1
2GENERAL PARTNER(S)*
DATED __________________________
___________________________________________________
___________________________________________________
(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 at least one general partner listed in the Certificate of Limited Partnership
(31 MRSA
§1324.1.J).
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-5B (2 of 2) 7/1/2007
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