Form Mbca-15 - Application For The Use Of An Indistinguishable Name 2004
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1Filing Fee $20.00
BUSINESS CORPORATION
STATE OF MAINE
APPLICATION FOR THE USE OF AN
_____________________
INDISTINGUISHABLE NAME
Deputy Secretary of State
A True Copy When Attested By Signature
______________________________________
_____________________
(Name of Corporation Allowing Indistinguishable Name)
Deputy Secretary of State
Pursuant to
13-C MRSA
§401.4, the undersigned corporation executes and delivers the following Application for the Use of an
Indistinguishable Name:
FIRST:
The above-named corporation hereby consents to the use of the following indistinguishable name:
________________________________________________________________________________________________
to _____________________________________________________________________________________________.
(requestor of indistinguishable name)
SECOND:
The entity in possession of the name undertakes to change its name to a name that is distinguishable on the records of
the Secretary of State from the name of the applicant.
THIRD:
The entity in possession of the name must change its name to:*
______________________________________________________________________________________________.
DATED _________________________
*By _________________________________________________
(signature of any duly authorized officer)
_________________________________________________
(type or print name and capacity)
*This application must be accompanied by the applicable form to change its name as provided in Item Third.
*This document MUST be signed by any duly authorized officer OR the clerk.
(13-C MRSA
§121.5)
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. MBCA-15 (1 of 1) Rev. 8/1/2004
TEL. (207) 624-7752
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