Instructions: Statement must be typewritten or printed in black ink, and must be legible. All signatures must be in black ink.
Submit statement together with the appropriate fee.
This statement must be signed and certified by at least one partner.
Line 1. State the full name of the partnership.
Complete Line 2 or Line 3, not both.
Line 2. State the date the Statement of Qualification was filed with the Department of Commerce and Consumer Affairs.
Line 3. State the date the Statement of Foreign Qualification was filed with the Department of Commerce and Consumer
Line 4. State the appropriate change.
Filing Fees: Filing fee ($25.00) is not refundable. Make checks payable to DEPARTMENT OF COMMERCE AND
CONSUMER AFFAIRS. Dishonored Check Fee $25.00.
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.
ALL BUSINESS REGISTRATION FILINGS ARE OPEN TO PUBLIC INSPECTION. (SECTION 92F-11, HRS)