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This is a Maine form that can be used for Foreign within Secretary Of State, Business Corporation.
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Filing Fee $70.00 FOREIGN BUSINESS CORPORATION STATE OF MAINE APPLICATION FOR TRANSFER OF AUTHORITY _____________________ Deputy Secretary of State A True Copy When Attested By Signature ______________________________________ (Name of Corporation) _____________________ Deputy Secretary of State Pursuant to 13-C MRSA §1524, the undersigned foreign corporation executes and delivers the following Application for Transfer of Authority: FIRST: The current jurisdiction of its incorporation is _________________________________________________________ and the date on which it was authorized to transact business in the State of Maine is __________________________. SECOND: The type of entity to which it has been converted: ("X" one box only.) Foreign Nonprofit Corporation Foreign Limited Partnership Foreign Limited Liability Company Foreign Limited Liability Partnership THIRD: FOURTH: The new jurisdiction whose laws govern its internal affairs is _____________________________________________. All the statements required to be set forth in an Application for Authority are attached. For a Foreign Nonprofit Corporation, attach form MNPCA-12. For a Foreign Limited Partnership, attach form MLPA-12. For a Foreign Limited Liability Company, attach form MLLC-12. For a Foreign Limited Liability Partnership, attach form MLLP-12. DATED _________________________ *By ___________________________________________________ (signature of an officer or other duly authorized representative) ___________________________________________________ (type or print name and capacity) *This document MUST be signed by an officer or other duly authorized representative. (§1524.1) 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 American LegalNet, Inc. FORM NO. MBCA-12C Rev. 10/31/2012 TEL. (207) 624-7740 www.FormsWorkFlow.com 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. www.FormsWorkFlow.com