Form T-1 - Application For Registration Of Trade Name - 2014 Page 2

Download a blank fillable Form T-1 - Application For Registration Of Trade Name - 2014 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 T-1 - Application For Registration Of Trade Name - 2014 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.

FORM T-1

WWW.

USINESS

1/2014

Nonrefundable Filing Fee: $50.00 $25.00

Temporary fee reduction until

12/31/2014

STATE OF HAWAII

DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS

*T1*

Business Registration Division

335 Merchant Street

Clear Form

Mailing Address: P.O. Box 40, Honolulu, Hawaii 96810

Phone No. (808) 586-2727

APPLICATION FOR REGISTRATION OF TRADE NAME

(Chapter 482, Hawaii Revised Statutes)

PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK

1. Applicant’s Name:

Applicant’s Address:

(including city, state, and zip code)

Renewal

)

Registration is (check one):

New

(Certificate No.

Status of Applicant (check only one):

Corporation

Partnership

LLC

Sole Proprietor

LLP

Other (explain):

Unincorporated Association

If applicant is an entity, list state or country of incorporation/formation/organization:

Trade Name is:

Applicant is (check one):

Originator of name

Assignee (one to whom name was assigned to by another)

Nature of business for which the trade name is being used:

I certify, under the penalties set forth in Section 482-51, Hawaii Revised Statutes, that (check one):

I am the applicant

I am the

of the applicant named in the foregoing application, I am authorized to sign this

(Office Held)

application, and that the above statements are true and correct to the best of my knowledge and belief.

(

Print Name)

(Signature)

(Date)

SEE INSTRUCTIONS ON REVERSE SIDE. Application must be certified by the applicant if an individual. For corporations, application must be signed

by an authorized officer of the corporation. General or limited partnerships must be signed by a general partner. For LLC, must be signed and certified

by a manager of a manager-managed company or by a member of a member-managed company. LLP must be signed and certified by a partner.

----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

(DEPARTMENTAL USE ONLY)

Certificate of Registration No. ________________________

CERTIFICATE OF REGISTRATION OF TRADE NAME

In accordance with the provisions of Chapter 482, Hawaii Revised Statutes, this Certificate of Registration is issued to secure the aforesaid applicant

the use of the said TRADE NAME throughout the State of Hawaii for the term of five years from _________________________________________

to ______________________________________________ .

DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS

STATE OF HAWAII

REGISTRATION OF A TRADE NAME WITH

Dated: _____________________________________________________________

THE DEPARTMENT DOES NOT GRANT

YOU OWNERSHIP OF THE TRADE NAME

___________________________________________________________________

(Director of Commerce and Consumer Affairs)

B48 (Fee)

S18 (SH)