Nonrefundable Filing Fee:
STATE OF HAWAII
Domestic Profit: $50.00
Domestic Nonprofit: $20.00
DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS
Business Registration Division
1010 Richards Street
Mailing Address: P.O. Box 40, Honolulu, Hawaii 96810
STATEMENT OF CHANGE OF REGISTERED AGENT’S BUSINESS ADDRESS, DOMESTIC
(Section 414-62, 415B-8.6, Hawaii Revised Statutes)
PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK
The undersigned, registered agent for a domestic corporation incorporated in the State of Hawaii, certifies as follows:
The corporation is (check one):
The name of the corporation is:
My business address has been changed to:
The address of the corporation’s registered office and my business address is identical.
A copy of this statement has been mailed to the above-named corporation.
I certify under the penalties of Section 414-20, 415B-158, Hawaii Revised Statutes, as applicable, that I have read the above
statements and that the same are true and correct.
Signed this ____________day of ___________________________________, __________
(Type/Print Name of Agent)
Instructions: Statement must be typewritten or printed in black ink, and must be legible. The statement must be signed by the registered
agent. If registered agent is an entity, an authorized official must sign. All signatures must be in black ink. Submit original statement and one
true copy together with the appropriate fee(s).
State the full name of the corporation.
State the new business address of the registered agent. Give the number, street, city, state and zip code.
Filing Fees: Filing fees are not refundable. Make checks payable to DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS.
Domestic Profit ($50)
Domestic Nonprofit ($20)
Dishonored Check ($15 fee plus interest charge)
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.