Free HO-E911 - Maine

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STATE OF MAINE

NOTIFICATION OF CHANGE IN HOME OFFICE ADDRESS BY MUNICIPALITY OR U.S. POSTAL SERVICE

_____________________ Deputy Secretary of State

A True Copy When Attested By Signature

___________________________________________
(name of foreign entity) _____________________ Deputy Secretary of State

The undersigned* executes and delivers for filing the following Change of Home Office Address: FIRST: The old home office address as it appears on the record in the Secretary of State's office: _______________________________________________________________________________________________
(street, city, state and zip code - old address)

SECOND:

The new home office address: _______________________________________________________________________________________________
(physical location, not P.O. Box ­ street, city, state and zip code)

_______________________________________________________________________________________________
(mailing address if different from above)

THIRD:

The jurisdiction of organization/incorporation is ________________________________ and the date on which the entity was authorized to transact business in the State of Maine is _________________________________________.

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) *To be filed by a foreign corporation, limited liability company, limited partnership or limited liability partnership to change the address of its registered or principal office in its jurisdiction of incorporation/organization or wherever located. (2) **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. HO-E911 4/18/2006 TEL. (207) 624-7740