Form Mlpa-11c - Statement Of Termination
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1Filing Fee $75.00
DOMESTIC
LIMITED PARTNERSHIP
STATE OF MAINE
_____________________
STATEMENT OF TERMINATION
Deputy Secretary of State
A True Copy When Attested By Signature
______________________________________
_____________________
Deputy Secretary of State
(Name of Limited Partnership)
Pursuant to
31 MRSA
§1323, the undersigned limited partnership executes and delivers the following Statement of Termination:
FIRST:
The date the original certificate of limited partnership was filed: ____________________________________________
SECOND:
Any other information as determined by the general partners filing this statement or by a person appointed pursuant
to
31 MRSA §1393, sub-§3 or
4, if any, are set forth in Exhibit _____ attached hereto and made a part hereof.
General Partner(s) **
Dated __________________________
___________________________________________________
___________________________________________________
(signature)
(type or print name)
___________________________________________________
___________________________________________________
(signature)
(type or print name)
___________________________________________________
___________________________________________________
(signature)
(type or print name)
For General Partner(s) which are Entities
Name of Entity _________________________________________________________________________________________________
By ________________________________________________
___________________________________________________
(authorized signature)
(type or print name and capacity)
*This statement MUST be signed by ALL general partners listed in the certificate or by the person appointed pursuant to
31 MRSA
§1393, sub-§3 or 4
to wind up the dissolved limited partnership's activities.
(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-11C (1 of 1) Rev. 7/1/2007
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