Form Mlpa-9b - Statement Of Dissociation - State Of Mane
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1Filing Fee $35.00
LIMITED PARTNERSHIP
STATE OF MAINE
_____________________
STATEMENT OF DISSOCIATION
Deputy Secretary of State
A True Copy When Attested By Signature
______________________________________
_____________________
Deputy Secretary of State
(Name of Limited Partnership)
Pursuant to
31 MRSA
§1375.1.D, the undersigned general partner executes and delivers the following Statement of Dissociation:
FIRST:
The general partner named herein is dissociated from the above named limited partnership.
_______________________________________________________________________
)
(Name of General Partner
Dated __________________________
General Partner(s) *
___________________________________________________
___________________________________________________
(signature)
(type or print name)
For General Partner(s) which are Entities
Name of Entity _________________________________________________________________________________________________
By ________________________________________________
___________________________________________________
(authorized signature)
(type or print name and capacity)
*Certificate MUST be signed by the person dissociated as a general partner.
(31 MRSA
§1324.1.G)
The execution of this application 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-9B (1 of 1) Rev. 7/1/2007
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