Free RO-E911 - Maine

No Filing Fee

NOTIFICATION OF CHANGE IN ADDRESS BY MUNICIPALITY OR U.S. POSTAL SERVICE STATE OF MAINE

_____________________ Deputy Secretary of State

A True Copy When Attested By Signature

______________________________________
(Name of Entity)

_____________________ Deputy Secretary of State

The undersigned executes and delivers for filing the following Change of Address:

FIRST:

The name of the clerk/registered agent as it appears on the record in the Secretary of State's office: _______________________________________________________________________________________________
(name of clerk/registered agent)

SECOND:

The old address of the clerk/registered agent as it appears on the record in the Secretary of State's office: _______________________________________________________________________________________________
(street, city, state and zip code - old address)

THIRD:

The new address of the clerk/registered agent: _______________________________________________________________________________________________
(physical location, not P.O. Box ­ street, city, state and zip code)

_______________________________________________________________________________________________
(mailing address if different from above)

FOURTH:

This change of address was duly authorized by (choose one):

Town/Municipality

U.S. Postal Service

DATED _________________________

*By ____________________________________________________
(signature)

____________________________________________________
(type or print name and capacity)

(1) *This document MUST be signed by the municipal official or postmaster

SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE, 101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101 FORM NO. RO-E911 4/18/2006 TEL. (207) 624-7740