Form Llc-8 - Statement Of Resignation Of Agent For Service Of Process 2001

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B
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FORM LLC-8
WWW.
USINESS
1/2001
Nonrefundable Filing Fee: $50.00
STATE OF HAWAII
DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS
Business Registration Division
1010 Richards Street
Clear Form
Mailing Address: P.O. Box 40, Honolulu, Hawaii 96810
STATEMENT OF RESIGNATION OF AGENT FOR SERVICE OF PROCESS
(Section 428-109, Hawaii Revised Statutes)
PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK
The undersigned, submitting this Statement certify as follows:
1.
The limited liability company is (check one):
Domestic
Foreign
2.
The name of the limited liability company is:
_______________________________________________________________________________________________________________
3.
I am the current agent for service of process of the company. My name and street address is:
Name:
_______________________________________________________________________________________________________
Address:
_____________________________________________________________________________________________________
4.
Notice is hereby given that I am resigning as the designated agent for service of process, to be effective on the thirty-first
day after the filing of this statement in the office of the Director of Department of Commerce and Consumer Affairs.
I certify under the penalties set forth in the Hawaii Uniform Limited Liability Company Act, that I have read the above statements
and that the same are true and correct.
Signed this ____________day of ___________________________________, __________
________________________________________________________
_______________________________________________________
(Type/Print Name of Agent)
(Signature)
Office Held:
___________________________________________
(If applicable)
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.
This statement must be signed by the agent for service of process. If agent is a corporation, an authorized officer must
sign. If agent is another limited liability company, a manager of a manager-managed company or a member of a member-
managed company must sign.
The resignation will be effective on the thirty-first day after this statement is filed in compliance with the Hawaii Limited Liability
Company Act (Chapter 428).
After the filing of this statement, a copy will be mailed to the designated office of the limited liability company and to the
company at its principal office.
Line 2. State the full name of the limited liability company.
Line 3. State the name and complete street address (including number, street, city, state, and zip code) of the resigning agent
for service of process.
Filing Fees: Filing fee ($50.00) is not refundable. Make checks payable to DEPARTMENT OF COMMERCE AND
CONSUMER AFFAIRS. 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.

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