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Application For Excuse MNPCA-14 - Maine

Application For Excuse Form. This is a Maine form and can be used in Domestic Nonprofit Corporation Secretary Of State .
 Fillable pdf Last Modified 5/17/2005
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Filing Fee $5.00 DOMESTIC NONPROFIT CORPORATION STATE OF MAINE APPLICATION FOR EXCUSE Deputy Secretary of State A True Copy When Attested By Signature ______________________________________ (Name of Corporation) Deputy Secretary of State Pursuant to 13-B MRSA §1301.5, the undersigned corporation executes and delivers for filing this Application for Excuse: President Treasurer Clerk or Secretary (circle title) I, of the above named corporation, a corporation duly organized under the laws of the State of Maine, certify that said corporation ceased to carry on activities on (date) ___________________. Application is made to be excused from further filing an annual report with the Secretary of State of Maine, so long as the corporation in fact carries on no activities. I further certify that all required Annual Reports have been filed with the Secretary of State. (Note: If the excuse process is completed on or before June 1st, then the Annual Report covering the previous calendar year is not required.) DATED _________________________ _____________________________________________________ (signature) NOTE: The excuse is effective upon acceptance by the Office of the Secretary of State. SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE, 101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101 FORM NO. MNPCA-14 Rev. 4/16/2001 TEL. (207) 624-7752 American LegalNet, Inc. Filer Contact Cover Letter To: Department of the Secretary of State Division of Corporations, UCC and Commissions 101 State House Station Augusta, ME 04333-0101 Tel. (207) 624-7752 Name of Entity (s): _______________________________________________________________________ _______________________________________________________________________ List type of filing(s) enclosed (i.e. Articles of Incorporation, Articles of Merger, Articles of Amendment, Certificate of Correction, etc.) Attach additional pages as needed. ________________________________________________________________________ ________________________________________________________________________ Special handling request(s): (check all that apply) Hold for pick up Expedited filing - 24 hour service ($50 additional filing fee per entity, per service) Expedited filing - Immediate service ($100 additional filing fee per entity, per service) Total filing fee(s) enclosed: $ ________________ Contact Information ­ questions regarding the above filing(s), please call or email: (failure to provide a contact name and telephone number or email address will result in the return of the erroneous filing (s) by the Secretary of State's office) ___________________________________ (Name of contact person) ___________________________________ (Daytime telephone number) ____________________________________________________ (Email address) The enclosed filing(s) and fee(s) are submitted for filing. Please return the attested copy to the following address: ______________________________________________________________________________ (Name of attested recipient) _____________________________________________________________________________________________ (Firm or Company) _____________________________________________________________________________________________ (Mailing Address) _____________________________________________________________________________________________ (City, State & Zip) American LegalNet, Inc.
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