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Application For Use Of Indistinguishable Name MNPCA-15 - Maine

Application For Use Of Indistinguishable Name Form. This is a Maine form and can be used in Domestic Or Foreign Nonprofit Corporation Secretary Of State .
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Filing Fee $5.00 NONPROFIT CORPORATION STATE OF MAINE APPLICATION FOR THE USE OF AN INDISTINGUISHABLE NAME _____________________ Deputy Secretary of State A True Copy When Attested By Signature ______________________________________ (Name of Corporation Allowing Indistinguishable Name) _____________________ Deputy Secretary of State Pursuant to 13-B MRSA §301-A.4, the undersigned corporation executes and delivers the following Application for the Use of an Indistinguishable Name: FIRST: The above-named corporation hereby consents to the use of the following indistinguishable name: _______________________________________________________________________________________________ to ____________________________________________________________________________________________. (requestor of indistinguishable name) SECOND: THIRD: The entity in possession of the name undertakes to change its name to a name that is distinguishable on the records of the Secretary of State from the name of the applicant. The entity in possession of the name must change its name to:* ______________________________________________________________________________________________. FOURTH: The address of the registered office of the corporation allowing indistinguishable name in the State of Maine is ______________________________________________________________________________________________. (street, city, state and zip code) DATED _________________________ *By ___________________________________________________ (signature) __________________________________________________ (type or print name and capacity) *By ___________________________________________________ (signature) __________________________________________________ (type or print name and capacity) *This application must be accompanied by the applicable form to change its name as provided in Item Third. *This document MUST be signed by any duly authorized officer. (13-B MRSA §104.1.B) Please remit your payment made payable to the Maine Secretary of State. SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE, 101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101 FORM NO. MNPCA-15 (1 of 1) Rev.9/16/2005 TEL. (207) 624-7752 American LegalNet, Inc. www.FormsWorkFlow.com
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