Filing Fee $35.00
LIMITED LIABILITY COMPANY
STATE OF MAINE
APPLICATION FOR THE USE OF AN
_____________________
INDISTINGUISHABLE NAME
Deputy Secretary of State
A True Copy When Attested By Signature
______________________________________
_____________________
(Name of Limited Liability Company Allowing Indistinguishable Name)
Deputy Secretary of State
Pursuant to
31 MRSA
§1508.4, the undersigned limited liability company executes and delivers the following Application for the Use of
an Indistinguishable Name:
FIRST:
The above-named limited liability company 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:*
______________________________________________________________________________________________.
**Authorized person(s)
Dated ________________________________
___________________________________________________
___________________________________________________
(Signature)
(Type or print name and capacity)
___________________________________________________
___________________________________________________
(Signature)
(Type or print name and capacity)
*This application must be accompanied by the applicable form to change the name as provided in Item Third.
**Pursuant to
31 MRSA
§1676.1B, this statement MUST be signed by a person authorized by the limited liability company.
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 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. MLLC-15 7/1/2011
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