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Application For Inclusion On List Of Registered Agents CORP-1 - Maine

Application For Inclusion On List Of Registered Agents Form. This is a Maine form and can be used in General Business Secretary Of State .
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NO FEE REQUIRED STATE OF MAINE APPLICATION FOR INCLUSION ON LIST OF REGISTERED AGENTS Pursuant to Chapters 240, 250, 260, 270 and 290 of the Rules for the Division of Corporations, the following corporatioivnid or iualnd is willing to serve as a registered agent for foreign corporations, nonprofit corporations, limited partnerships, limitedlity liabi companies and limited liability partnerships qualifying in the State of Maine: Name of individual or corporation:* ___________________________________________________________________________________________________________ Contact person (if applicant is a corporation): ___________________________________________________________________________________________________________ Address:** ___________________________________________________________________________________________________________ (physical location - street (not P.O. Box), city, state and zip code) ___________________________________________________________________________________________________________ (mailing address if different from above) Telephone number: Fax number: E-mail address: ____________________________ ____________________________ ____________________________ Dated: ________________________ ________________________________________________________________ (sign)ature of applicant ________________________________________________________________ (tye anpd capacitye or print n) am* Must be an individual Maine resident or a corporation, foreign or domestic, authorized to do business or carry on activn ities i Maine. ** If a corporation, the address listed herein must be identical to the registered office appearing on the record of the Secretary of Statefor that corporation. SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE, 101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101 TEL. ( 207) 624-7740 FORM NO. CORP-1 Rev. 4/16/2001
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