FORM LP-4
7/2008
Instructions: Statement must be typewritten or printed in black ink, and must be legible. All signatures must be in black ink.
Submit statement together with the appropriate fee.
The statement must be signed and certified by at least one general partner. If partner is a corporation, a corporate officer
must sign on behalf of the corporation. If partner is another partnership, a general partner must sign on behalf of the other
partnership. If partner is a LLC, must be signed by at least one manager of manager-managed company or by at least one
member of a member-managed company. If partner is a LLP, must be signed by at least one partner.
Line 1.
Check the appropriate box.
Line 2.
State the full name of the partnership.
Line 3.
State the date (month, day, and year) the Certificate of Limited Partnership was filed with the Department of
Commerce and Consumer Affairs.
Line 4.
Check whether the effective date of the cancellation is upon the date and time of filing or effective on a
subsequent date. If subsequent date is checked, state the date and time the cancellation is effective. The
time must be according to Hawaiian Standard Time. The date and time cannot be more than thirty (30) days
after the Statement of Termination is filed.
Filing fee ($10.00) is not refundable. Make check 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)