Form Fllc-2 - Application For Certificate Of Cancellation - 2008

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FORM FLLC-2
B
R
WWW.
USINESS
7/2008
Nonrefundable Filing Fee: $25.00
STATE OF HAWAII
*FLLC2*
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
APPLICATION FOR CERTIFICATE OF CANCELLATION
(Section 428-1007, Hawaii Revised Statutes)
PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK
The undersigned, submitting this application, certify as follows :
1.
The name of the foreign limited liability company is:
______________________________________________________________________________________________________________
2.
Its state or country of organization is:
____________________________________________________________________________
3.
The foreign limited liability company is not transacting business and surrenders its authority to transact business in the
State of Hawaii.
4.
The foreign limited liability company revokes the authority of its agent for service of process in the State of Hawaii and
consents that service of process for any claim for relief arising out of the transactions of business in this State may hereafter
be made on such foreign limited liability company by service upon the Director of Commerce and Consumer Affairs.
5.
The address to which a person may mail a copy of any process against the foreign limited liability company is:
______________________________________________________________________________________________________________
6.
Please check one:
The notice of intention to cancel its authority to transact business in the State of Hawaii was published on:
____________________________________ in the _______________________________________________; OR
(Month
Days
Year)
(Name of Newspaper)
Publication was not made.
7.
All taxes, debts, obligations, and liabilities of the foreign limited liability company in the State of Hawaii have been paid and
discharged or adequate provision has been made therefor.
I/we certify under the penalties set forth in the Hawaii Uniform Limited Liability Company Act, that I/we have read the above
above statements
statements, I/we are authorized to sign this application, and that the
are true and correct.
Signed this ____________day of ___________________________________, __________
_______________________________________________________
________________________________________________________
(Type/Print Name & Title)
(Type/Print Name & Title)
_______________________________________________________
________________________________________________________
(Signature)
(Signature)
SEE INSTRUCTIONS ON REVERSE SIDE. Application must be signed and certified by at least one manager of a manager-
managed company or by at least one member of a member-managed company.

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