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Rental Registration Corporate Disclosure
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Must Be Completed if Building is Not Individually Owned
The answers to questions 1-4 must match the information on file with the Maine Secretary of State's office. Your certification must be in good standing. If you have questions regarding this information, please call the Secretary of State's Office at (207) 624-7752. Please clearly complete this information in its entirety.
STOCK OWNERSHIP IN NON-PUBLICLY TRADED COMPANIES MUST ADD UP TO 100%. THANK YOU.
1) Exact Legal Name
2) Doing Business As, If Any
3) Date of Filing With the State
4) State in Which Formed
5) List the Names, Addresses, Titles of Officers and Directors, and List %
NAME - FIRST PERSON LISTED
NAME - SECOND PERSON LISTED
NAME - THIRD PERSON LISTED
NAME - FOURTH PERSON LISTED
NAME - FIFTH PERSON LISTED
NAME - SIXTH PERSON LISTED
NAME - SEVENTH PERSON LISTED
NAME - EIGHTH PERSON LISTED
SIGNATURE OF OWNER OR CORPORATE OFFICER CERTIFYING ACCURACY OF APPLICATION
PRINTED NAME OF OWNER OR CORPORATE OFFICER
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