Fillable Form Gp-4 - General Partnership Dissolution Statement printable pdf download

Form Gp-4 - General Partnership Dissolution Statement

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FORM T-4

WWW.

USINESS

STATE OF HAWAII

Nonrefundable Filing Fee: $10.00

7/2010

DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS

Business Registration Division

*T4*

335 Merchant Street

Clear Form

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

Phone No. (808) 586-2727

ASSIGNMENT OF TRADE NAME, TRADEMARK OR SERVICE MARK

(Chapter 482, Hawaii Revised Statutes)

PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK

Assignor's Name (Registrant):

Assignor's Address:

(including city, state, and zip code)

Status of Assignor (check only one):

Sole Proprietor

Corporation

Partnership

LLC

LLP

Unincorporated Association

Other (explain):

If assignor is an entity, list state or country of incorporation/formation/organization:

DOES HEREBY ASSIGN, SELL, TRANSFER, SET OVER, AND CONVEY (TOGETHER WITH ALL GOODWILL AND ALL RIGHTS TO SUE FOR PAST

INFRINGEMENT, IF ANY) TO:

Assignee's Name:

Assignee's Address:

(including city, state, and zip code)

Status of Assignee (check only one):

Sole Proprietor

Corporation

Partnership

LLC

LLP

Other (explain):

Unincorporated Association

If assignee is an entity, list state or country of incorporation/formation/organization:

(a) The trade name, trademark or service mark (line out inapplicable type) being assigned is:

(b) Certificate Number:

I certify, under the penalties set forth in Section 482-51, Hawaii Revised Statutes, that (check one):

I am the assignor

I am the

of the assignor named in the foregoing application, I am authorized to sign this

(Office Held)

Assignment, and that the above statements are true and correct to the best of my knowledge and belief.

(

Print Name)

(

(Signature)

Date)

SEE INSTRUCTIONS ON REVERSE SIDE. Assignment must be signed by the assignor (registrant).

-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

(DEPARTMENTAL USE ONLY)

CERTIFICATE OF ASSIGNMENT

Certificate of Registration .

is hereby assigned to the above-named Assignee, effective

DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS

STATE OF HAWAII

Dated:

(Director of Commerce and Consumer Affairs)

B49 (Fee)

S18 (SH)