Maine LLC Statement of Authority Form

In the case of a limited liability company wanting to choose a person to be able to legally act on behalf of the entity in the State of Maine, the Maine LLC Statement of Authority Form has to be completed and submitted along with a $40 filing fee.

Extracted Text for Proper Search

_____________________ 
Deputy Secretary of State 	
 
 	
A True Copy When Attested By Signature 	
 
 	
_____________________ 
Deputy Secretary of State 	
                       Filing Fee $50.00 
 
  LIMITED LIABILITY COMPANY  	 	 
 
STATE OF MAINE  
 
 
  STATEMENT OF AUTHORITY 	
(for a Maine LLC) 	
 
 
 
 
 ______________________________________ 	
(Name of Limited Liability Company) 
 
 	
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Pursuant	

 to 31 MRSA §1542.1 , the following persons or existing positions have the authority or limitations on authority to enter into 
t	

ransactions on behalf of this company, or otherwis e act for or bind this company as described below: 
  
 
 
______________________________________________                                 
                         (name of person or position) 
   
Authority granted or limitations: 
 
________________________________________________________________________\
_____________________________ 
  ________________________________________________________________________\
_____________________________ 
  ________________________________________________________________________\
_____________________________ 
  ________________________________________________________________________\
_____________________________ 
 
 
 
______________________________________________                                 
                         (name of person or position) 
   
Authority granted or limitations: 
 
________________________________________________________________________\
_____________________________ 
  ________________________________________________________________________\
_____________________________ 
  ________________________________________________________________________\
_____________________________ 
  ________________________________________________________________________\
_____________________________ 
 
 
 
  
 
Form No. MLLC-SOA (1 of 2)

______________________________________________                                
                         (name of person or position) 
   
Authority granted or limitations: 
 
________________________________________________________________________\
_____________________________ 
  ________________________________________________________________________\
_____________________________ 
  ________________________________________________________________________\
_____________________________ 
  ________________________________________________________________________\
_____________________________ 
 
 
Additional information is set forth in the attached Exhibit ________, and made a part hereof. 
 
 
 
 
 
*Authorized person(s)                                                                              DAT
 ED __________________________ 
 
 
 
____________________________________________________          __________\
_________________________________________   
                                   (authorized signature)             \
                                                                     (type or print name and capacity) 
 
 
____________________________________________________          __________\
_________________________________________   
                                   (authorized signature)             \
                                                                     (type or print name and capacity) 
 
 
____________________________________________________          __________\
_________________________________________   
                                   (authorized signature)             \
                                                                     (type or print name and capacity) 
 
 
 
 
 
 
*Pursuant

 to 31 MRSA §1676.1B , this statement MUST b	
 e signed by a person authorized by the limited liability company. 
  
The execution of this certificate cons titutes an oath or affirmation under the penalties of false swearing under  Title 17-A, section 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-SOA (2 of 2) 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)