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)
THE FOLLOWING SHALL BE COMPLETED BY THE SUCCESSOR REGISTERED AGENT UNLESS THIS DOCUMENT
IS ACCOMPANIED BY FORM MLLP-18 (§807.2.).
The undersigned hereby accepts the appointment as registered agent for the above named limited liability 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 Title 17-A, section 453.
SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MLLP-3A
Rev. 4/16/2001
TEL. (207) 624-7740