Form Fc-4 - Application For Withdrawal, Foreign Corporation - 2008 Page 2
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1
2FORM FC-4
7/2008
Instructions: Application must be typewritten or printed in black ink, and must be legible.
Application must be signed by at least
All signatures must be in black ink. Submit original
one officer of the corporation or by the chairperson of the board of directors.
application together with the appropriate fee(s).
Line 1. Check whether the corporation is a profit or a nonprofit corporation.
Line 2. State the full name of the corporation.
Line 3. Give the name of the state or country where it was incorporated.
Line 6. Give the complete mailing address (including city, state and zip code) where any process may be mailed to the
corporation by the Director of Commerce and Consumer Affairs.
Filing Fees: Filing fees are not refundable. Make checks payable to DEPARTMENT OF COMMERCE AND CONSUMER
AFFAIRS.
Foreign Profit ($25)
Foreign Nonprofit ($10)
Dishonored Check Fee ($25)
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
Email Address:
breg@dcca.hawaii.gov
ALL BUSINESS REGISTRATION FILINGS ARE OPEN TO PUBLIC INSPECTION. (SECTION 92F-11, HRS)
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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