Free MBCA-5A - Maine


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State: Maine
Category: Corporations
Author: adm3
Word Count: 165 Words, 1,356 Characters
Page Size: Letter (8 1/2" x 11")
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http://www.maine.gov/sos/cec/corp/formsnew/mbca5a.pdf

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BUSINESS CORPORATION STATE OF MAINE

TERMINATION OF STATEMENT OF INTENTION TO DO BUSINESS UNDER AN ASSUMED OR FICTITIOUS NAME

_____________________ Deputy Secretary of State

A True Copy When Attested By Signature

______________________________________
(Real Name of Corporation)

_____________________ Deputy Secretary of State

Pursuant to 13-C MRSA §404.8, the undersigned corporation executes and delivers the following Termination of Statement of Intention to do Business Under an Assumed or Fictitious Name: FIRST: SECOND: The corporation no longer intends to transact business under an assumed or fictitious name. The corporation intends to terminate the assumed or fictitious name of ______________________________________________________________________________________________.

DATED _________________________

*By __________________________________________________
(signature of any duly authorized person)

__________________________________________________
(type or print name and capacity)

*This document MUST be signed by any duly authorized officer OR the clerk. (§121.5) Please remit your payment made payable to the Maine Secretary of State. SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE, 101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101 FORM NO. MBCA-5A 7/1/2003 TEL. (207) 624-7752