Free MLPA-11C (D) - Maine

Filing Fee $75.00

DOMESTIC LIMITED PARTNERSHIP

STATE OF MAINE

STATEMENT OF TERMINATION

_____________________ Deputy Secretary of State

A True Copy When Attested By Signature

______________________________________
(Name of Limited Partnership)

_____________________ Deputy Secretary of State

Pursuant to 31 MRSA §1323, the undersigned limited partnership executes and delivers the following Statement of Termination: FIRST: SECOND: The date the original certificate of limited partnership was filed: ____________________________________________ Any other information as determined by the general partners filing this statement or by a person appointed pursuant to 31 MRSA §1393, sub-§3 or 4, if any, are set forth in Exhibit _____ attached hereto and made a part hereof. Dated __________________________

General Partner(s) **

___________________________________________________
(signature)

___________________________________________________
(type or print name)

___________________________________________________
(signature)

___________________________________________________
(type or print name)

___________________________________________________
(signature)

___________________________________________________
(type or print name)

For General Partner(s) which are Entities Name of Entity _________________________________________________________________________________________________ By ________________________________________________
(authorized signature)

___________________________________________________
(type or print name and capacity)

*This statement MUST be signed by ALL general partners listed in the certificate or by the person appointed pursuant to 31 MRSA §1393, sub-§3 or 4 to wind up the dissolved limited partnership's activities. (31 MRSA §1324.1.G) The execution of this application constitutes an oath or affirmation under the penalties of false swearing under 17-A MRSA §453. Please remit your payment made payable to the Maine Secretary of State. Submit completed form to: Secretary of State Division of Corporations, UCC and Commissions 101 State House Station Augusta, ME 04333-0101 Telephone Inquiries: (207) 624-7752 Email Inquiries: [email protected]

Form No. MLPA-11C (1 of 1) Rev. 7/1/2007