Nonrefundable Filing Fee: $25.00
STATE OF HAWAII
DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS
Business Registration Division
335 Merchant Street
Mailing Address: P.O. Box 40, Honolulu, Hawaii 96810
Phone No. (808) 586-2727
STATEMENT OF AMENDMENT
(Section 425-154, 425-159, Hawaii Revised Statutes)
PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK
The limited liability partnership is (check one):
Name of partnership: ______________________________________________________________________________
For Domestic only: The Statement of Qualification was filed with the Department of Commerce and Consumer Affairs
For Foreign only: The Statement of foreign Qualification was filed with the Department of Commerce and Consumer
Affairs on ___________________________________.
The Statement of Qualification/Statement of Foreign Qualification is amended as follows: (Check one)
The name of the limited liability partnership is changed to:
The limited liability partnership voluntarily cancels its limited liability status.
Other (State the amendment made to the Statement of Qualification or Statement of Foreign Qualification)
I certify, under the penalties of Section 425-172, Hawaii Revised Statutes, that I have read the above statements, I am
authorized to make this change, and that the
are true and correct.
Signed this ____________day of ___________________________________, __________
(Type/Name of Partner)
SEE INSTRUCTIONS ON REVERSE SIDE.