FORM X-2
B
R
WWW.
USINESS
7/2008
Nonrefundable Filing Fee: $10.00
STATE OF HAWAII
*X2*
DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS
Business Registration Division
Clear Info
335 Merchant Street
Mailing Address: P.O. Box 40, Honolulu, Hawaii 96810
Phone No. (808) 586-2727
TRANSFER OF NAME RESERVATION
(Section 414-52, 414D-62, 425-8, 425E-109, 428-106, Hawaii Revised Statutes)
PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK
The undersigned applicant for the name:
__________________________________________________________________________________________________________________
(Corporation, Partnership, LLC Name)
Reservation approved for (please check one):
Corporation
Partnership
LLC
(F/$10/B20, SH/S04)
(F/$10/B20, SH/S04)
(F/$10/L20, SH/S21)
Reservation will expire on:
_______________________________________________
(Month
Day
Year)
transfers the reservation of the name to:
__________________________________________________________________________________________________________________
(Type/Print Name of Person the Name is Transferred to)
__________________________________________________________________________________________________________________
(Type/Print Address of Person the Name is Transferred to)
e above statements are
I certify that I have read the above statements, I am authorized to make this change, and that th
true
and correct to the best of my knowledge and belief.
__________________________________________________________________________________________
(Type/Print Name of Applicant)
__________________________________________________________________________________________
(Signature of Applicant)
If applicant is a corporation, a corporate officer must sign. If applicant is a partnership, a general
partner must sign. If applicant is a LLC, a manager of a manager-managed company or a member
of a member-managed company must sign. If applicant is a LLP, a partner must sign. State title
below:
__________________________________________________________
(Office Held)
Instructions: Application must be typewritten or printed in black ink, and must be legible. The transfer must be signed by the actual applicant
of the original reservation, even though the original application may have been signed by the applicant’s agent. All signatures must be in black
ink. Submit original application together with the appropriate filing fee(s).
Filing Fees: Filing fee ($10.00) is not refundable. Make checks payable to DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS.
Dishonored Check Fee $25.00.
For any questions call (808) 586-2727. Neighbor islands may call the following numbers followed by 6-2727 and the # sign:
Kauai 274-3141; Maui 984-2400; Hawaii 974-4000, Lanai & Molokai 1-800-468-4644 (toll free).
Fax: (808) 586-2733
Email Address:
breg@dcca.hawaii.gov
NOTICE: THIS MATERIAL CAN BE MADE AVAILABLE FOR INDIVIDUALS WITH SPECIAL NEEDS. PLEASE CALL THE DIVISION
SECRETARY, BUSINESS REGISTRATION DIVISION, DCCA, AT 586-2744, TO SUBMIT YOUR REQUEST.
ALL BUSINESS REGISTRATION FILINGS ARE OPEN TO PUBLIC INSPECTION. (SECTION 92F-11, HRS)