DATED
PAR1NER(S)*
(signattlre)
(type or print name aIKl capacity)
For Partner(s) which are Entities
Name of Entity
By
(authorized signature)
(type or print name aIxl capacity)
IF TIllS
CERTIFICATE
OF CORRECTION
NAMES A NEW REGISTERED
AGENT, THE FOLWWING
SHALL BE
COMPLETED
BY THE REGISTERED
AGENT UNLESS 11llS DOCUMENT
IS ACCOMPANIED
BY FORM MLLP-18
(§854.2-A.).
The undersigned hereby accepts the appointment as registered agent for the above-named foreign limited liability partnership.
REGISTERED AGENT
DATED
(tyPe or print name)
(signattlre)
For Registered Agent which is a Corporation
Name of Corporation
By
( aud1orized signabJre )
(type or print name aIxi capacity)
*Certificate MUST be signed by at least one partner (§860.1.).
The execution of this certificate constitutes an oath or afftrmation 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-17A
Rev.7/2000
TEL. (207} 287-4195