Instructions: Statement must be typewritten or printed in black ink, and must be legible. All signatures must be in black ink.
Submit original statement together with the appropriate fee(s).
For corporations, document must be signed by at least one officer of the corporation.
For general partnerships must be signed by at least one general partner.
For limited liability partnerships, must be signed and certified by at least one partner.
For limited partnerships must be signed by at least one general partner.
For limited liability limited partnerships must be signed by at least one general partner.
For limited liability company, 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.
Line 1. Check the appropriate box.
Line 2. State the full name and the state/country of incorporation/formation or organization of the entity.
Line 3. a. State the name of the current registered agent, before the change.
b. State the street address of the current registered office in Hawaii, before the change
Line 4. State the name of the new registered agent in the State of Hawaii. If there has been no change, state NO CHANGE.
The agent must be an individual resident of Hawaii, a domestic entity, or a foreign entity authorized to transact
business or conduct affairs in the State of Hawaii. If agent is an entity, state the state or country of
incorporation/formation or organization of the agent.
Line 5. State the new address of the corporation’s registered office in the State of Hawaii. Give the number, street, city, state
and zip code. If there has been no change in the address, state NO CHANGE.
Filing Fees: Filing fees are not refundable. Make checks payable to DEPARTMENT OF COMMERCE AND CONSUMER
Profit Corporation ($25)
Nonprofit Corporation ($10)
General Partnership ($10)
Limited Liability Partnership ($25)
Limited Partnership ($10)
Limited Liability Limited Partnership ($10)
Limited Liability Company ($25)
Dishonored Check ($15 fee plus interest charge)
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
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.