Form X-4 - Application For Reinstatement 2008
Download a blank fillable Form X-4 - Application For Reinstatement 2008 in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form X-4 - Application For Reinstatement 2008 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1FORM X-4
B
R
WWW.
USINESS
7/2008
Nonrefundable Filing Fee:
STATE OF HAWAII
Profit Corporation: $25.00
*X4*
Nonprofit Corporation: $10.00
DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS
General Partnership: $10.00
Business Registration Division
LLP: $25.00
Limited Partnership: $10.00
335 Merchant Street
LLLP: $10.00
Mailing Address: P.O. Box 40, Honolulu, Hawaii 96810
LLC: $25.00
Phone No. (808) 586-2727
Clear Info
APPLICATION FOR REINSTATEMENT
(Section 414-403, 415A-18, 414D-250, 425-14, 425-164, 425E-810, 428-811, Hawaii Revised Statutes)
PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK
The undersigned, submitting this application for reinstatement, certify as follows:
1.
The entity is (check one):
Profit Corporation
Nonprofit Corporation
General Partnership
Limited Liability Partnership
(F/$25/B15)
(F/$10/B15)
(F/$10/B29)
(F/$25/L34)
Limited Partnership
Limited Liability Limited Partnership
Limited Liability Company
(
F/$10/B31)
(F/$10/B31)
(F/$25/L14)
2.
Name of business entity:
______________________________________________________________________________________________________________
(Corporation, Partnership, LLC Name)
3.
The business entity was involuntarily dissolved/canceled/revoked or administratively terminated/dissolved/canceled by
Decree/Order issued by the Director of Commerce and Consumer Affairs on:
________________________________________.
(Month
Day
Year)
4
Attached are the delinquent annual statements/reports for the years:
_____________________,
______________________, _____________________, _____________________,
_____________________ .
5.
Attached is a certificate from the Department of Taxation, State of Hawaii, indicating that all taxes have been paid, or that a
payment arrangement has been entered into, or the unpaid tax liabilities are being contested in an administrative or judicial
appeal with the department of taxation.
6.
Attached is payment for all delinquent fees, penalties and other costs in the amount of $ ___________________________.
I/we certify under the penalties of Section 414-20, 414D-12, 425-13, 425-172, 425E-208 and 428-1302, Hawaii Revised
Statutes, as applicable, that I/we have read the above statements, I/we are authorized to sign this application, and that the
above statements are true and correct.
Signed this ____________day of ___________________________________, __________
_______________________________________________________
________________________________________________________
(Type/Print Name & Title)
(Type/Print Name & Title)
_______________________________________________________
________________________________________________________
(Signature)
(Signature)
SEE INSTRUCTIONS ON REVERSE SIDE
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business