Free MBCA-15 - Maine

Filing Fee $20.00

BUSINESS CORPORATION STATE OF MAINE

APPLICATION FOR THE USE OF AN INDISTINGUISHABLE NAME

_____________________ Deputy Secretary of State A True Copy When Attested By Signature

______________________________________
(Name of Corporation Allowing Indistinguishable Name)

_____________________ Deputy Secretary of State

Pursuant to 13-C MRSA §401.4, the undersigned corporation executes and delivers the following Application for the Use of an Indistinguishable Name: FIRST: The above-named corporation hereby consents to the use of the following indistinguishable name: ________________________________________________________________________________________________ to _____________________________________________________________________________________________.
(requestor of indistinguishable name)

SECOND:

The entity in possession of the name undertakes to change its name to a name that is distinguishable on the records of the Secretary of State from the name of the applicant. The entity in possession of the name must change its name to:* ______________________________________________________________________________________________.

THIRD:

DATED _________________________

*By _________________________________________________
(signature of any duly authorized officer)

_________________________________________________
(type or print name and capacity)

*This application must be accompanied by the applicable form to change its name as provided in Item Third.

*This document MUST be signed by any duly authorized officer OR the clerk. (13-C MRSA §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-15 (1 of 1) Rev. 8/1/2004 TEL. (207) 624-7752