FIFTH: Other provisions of this certificate, if any, that the partners determine to include are set forth in Exhibit ____ attached
hereto and made a part hereof.
Partner(s)** Dated __________________________
___________________________________________________ __________________________________________________
(signature) (type or print name)
___________________________________________________ __________________________________________________
(signature) (type or print name)
___________________________________________________ __________________________________________________
(signature) (type or print name)
For Partner(s)** which are Entities
Name of Entity _______________________________________________________________________________________________
By _______________________________________________ _________________________________________________
(authorized signature) (type or print name and capacity)
Name of Entity _______________________________________________________________________________________________
By _______________________________________________ _________________________________________________
(authorized signature) (type or print name and capacity)
Name of Entity _______________________________________________________________________________________________
By _______________________________________________ _________________________________________________
(authorized signature) (type or print name and capacity)
*Examples of professional service corporations are accountants, attorneys, chiropractors, dentists, registered nurses and veterinarians.
(This is not an inclusive list – see
13 MRSA §723.7.)
**Certificate MUST be signed by:
(1) one or more partners who are authorized OR
(2) any duly authorized person.
The execution of this certificate 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:
CEC.Corporations@Maine.gov
Form No. MLLP-6 (2 of 2) Rev. 7/1/2008