DATED
PAR1NER(S)*
(signature)
(type or print name aM capacity)
For Partner(s) which are Entities
Name of Entity
By
(authorized signature)
(tyPe or print name and capacity)
*Certificate ~
be signed by
(I)
at least one partner OR
(2)
any duly authorized person.
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 SECnON, SECRETARY OF STATE,
101 STATE HOUSE STAnON, AUGUSTA, ME 04333-0101
FORM NO. MLLP-9
Rev.8/2000
TEL. (201) 287-4195