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Maine LLC Name Reservation Form

In the case of a limited liability company wanting to reserve a name in the State of Maine before submitting the necessary documents, the Maine LLC Name Reservation Form has to be completed and submitted.

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_____________________ 
Deputy Secretary of State 	
 
 	
A True Copy When Attested By Signature 	
 
 	
_____________________ 
Deputy Secretary of State 	
                       Filing Fee $20.00 
 
 
 	
LIMITED LIABILITY COMPANY 
 
STATE OF MAINE  
 	
APPLICATION FOR 
RESERVATION OF NAME 	
 
 
Pursuant to  31 MRSA §1509.1, the undersigned applicant 
ex	

ecutes and delivers the following Application for 
Reservation of Name: 
 
 
 	
 Check box  only if this name is being reserved 
    for use as an assumed name. 
   
 
 
 
 
 
 
 
 
 	
 
 
 
 
 
 
 
 
  ________________________________________________________________________\
________________________________ 	
     (Name to be reserved must contai n one of the following:  "limited liability comp any" or “limited company” or the abbreviation “L.L.C.,”  “LLC,”  “L.C.” or “LC” or, in      
     the case of a low-profit limited liability company, “L3C” or l3c” 	
unless	 this name is being reserved for use only as an assumed name – see   31 MRSA §1508.)	 
 
Name of applicant _______________________________________________________________________\
_______________________ 
 
 
Address of applicant _______________________________________________________________________\
_____________________ 
 
 
 
APPLICANT       DATED  __________________________ 
 
 
___________________________________________________   ___________________________________________________ 	
          (signature of applicant)             (type or print name and capacity) 
 
•  Names are reserved for a period of 120 days and may not be renewed .  The Secretary of State will not file an application for a 
reserved name that is filed back-to-back  by the same applicant for the same name. 
 
• The Secretary of State will  not act as an agent by holding applications for filing  upon expiration of an existing reservation.  Timely 
filing is the responsibility of the applicant. 
 
•  This application serves only as a reservation of the ri ght to the use of a name.  Actual use of the name is not recommended until the 
purpose for which the name is reserved is completed. 
  
 
The execution of this application c onstitutes an oath or affirmation unde r the penalties of false swearing under  17-A MRSA §453. 
 
Pl	

ease remit your payment made payabl e to the Maine Secretary of State. 
 
Submit completed form to:     Secretary of State 
    Division of Corp orations, UCC and Commissions 
    101 State House Station 
    Augusta, ME  04333-0101  
    Telephone Inquiries:   (207) 624-7752 Email Inquiries:  [email protected] 
 
 
 
 
Form	

 No. MLLC-1 7/1/2011

Filer Contact Cover Letter	
 
 
 
 
 
To:  Department of the Secretary of State            Tel. (207) 624-7752 
  Division of Corporatio ns, UCC and Commissions 
  101 State House Station 
  Augusta, ME 04333-0101   
 
 
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 se rvice ($50 additional filing fee per entity, per service) 
  Expedited filing - Immediate service ($100 a dditional filing fee per entity, per service) 
 
Total filing fee(s) enclosed:  $ ________________ 
 
Contact Information – questions regarding th e 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 St ate’s office) 	
 
___________________________________   ___________________________________ 	
(Name of contact person) 	    	(Daytime telephone number) 
 	
 
____________________________________________________ 	
(Email address) 
 	
The enclosed filing(s) and fee(s) are submitted for f iling. Please return the attested copy to the following 
address:  
 
________________________________________________________________________\
______ 	
(Name of attested recipient) 
 	
_____________________________________________________________________________________________ 	
(Firm or Company) 
 	
_____________________________________________________________________________________________ 	
(Mailing Address) 	
 
_____________________________________________________________________________________________ 	
(City, State & Zip)
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