Form X-7 - Statement Of Change Of Registered Agent, Domestic Corporation printable pdf download

Form X-7 - Statement Of Change Of Registered Agent, Domestic Corporation

FORM X-7

WWW.

USINESS

7/2000

STATE OF HAWAII

DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS

Business Registration Division

1010 Richards Street

Mailing Address: P.O. Box 40, Honolulu, Hawaii 96810

STATEMENT OF CHANGE OF REGISTERED AGENT, DOMESTIC CORPORATION

(Section 415-11, 415B-8.6, Hawaii Revised Statutes)

PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK

The undersigned, duly authorized officers of the corporation submitting this statement, certify as follows:

The corporation is (check one):

Profit

Nonprofit

(F/$50/B15)

(F/$20/B15)

The name of the corporation is:

_______________________________________________________________________________________________________________

Name and address of its present registered agent.

Name:

____________________________________________________________________________________________________

Address:

_________________________________________________________________________________________________

Name of its registered agent after the change is:

______________________________________________________________________________________________________________

Complete address (including number, street, city, state, and zip code) of its registered agent after the change is:

______________________________________________________________________________________________________________

The address of its registered office and the business address of its registered agent is identical.

We certify under the penalties of Section 415-136, 415B-158, Hawaii Revised Statutes, as applicable, that we have read the

above statements and that the same are true and correct.

Signed this ____________day of ___________________________________, __________

_______________________________________________________

_________________________________________________________

(Type/Print Name & Title)

_______________________________________________________

_________________________________________________________

(Signature of Officer)

SEE INSTRUCTIONS ON REVERSE SIDE. For change of registered office or registered agent, the statement must be signed

by two individuals who are officers of the corporation.

Form X-7 - Statement Of Change Of Registered Agent, Domestic Corporation