Hawaii T 4 Form PDF Details

The Hawaii T-4 form is an essential document facilitated by the State of Hawaii's Department of Commerce and Consumer Affairs, particularly within the Business Registration Division. As of July 2010, this form serves as a procedural tool for the assignment of trade names, trademarks, or service marks as dictated under Chapter 482 of the Hawaii Revised Statutes. An integral aspect of managing intellectual property, the form enables the original registrant (assignor) to officially transfer the rights, along with all associated goodwill and the right to sue for past infringements, if any, to another party (assignee). This process requires a nonrefundable filing fee of $10.00 and necessitates that the assignment is conducted with precision, typewritten or printed legibly in black ink, and signed exclusively in black ink by the assignor. The document details the need for clarity in the assignor and assignee’s details, their status, the specifics of the trade name, trademark or service mark being transferred, including a certificate number and classification. Critical to ensuring an uncomplicated transfer, the form underscores the authenticity of the signature, confirming that it must be that of the assignor or an authorized representative. For entities like corporations, partnerships, LLCs, or LLPs specific signing requirements are outlined to ensure legitimacy in the process. Alongside, the T-4 form aids in maintaining transparency in business registrations, adhering to the public inspection requirements as per Section 92F-11, HRS, thus safeguarding the integrity of business operations within the state.

QuestionAnswer
Form NameHawaii T 4 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other nameshi form trade trademark mark, hawaii t 4, form t4 trade service, hawaii assignment

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WWW.BUSINESSREGISTRATIONS.COM

STATE OF HAWAII

FORM T-4

Nonrefundable Filing Fee: $10.00

DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS

7/2010

 

 

 

 

Business Registration Division

 

 

335 Merchant Street

*T4*

 

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

1.Assignor's Name (Registrant):

Assignor's Address:

(including city, state, and zip code)

2.Status of Assignor (check only one):

Sole Proprietor

Corporation

Partnership

LLC

LLP

Unincorporated Association

OR

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:

3.Assignee's Name:

Assignee's Address:

(including city, state, and zip code)

4.Status of Assignee (check only one):

Sole Proprietor

Corporation

Partnership

LLC

LLP

Unincorporated Association

OR

Other (explain):

 

 

 

 

 

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

 

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

(b)Certificate Number:

(c)Classification of trademark or service mark:

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

 

 

 

 

 

 

I am the assignor

OR

 

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)

FORM T-4 7/2010

Instructions: Assignment must be typewritten or printed in black ink, and must be legible. Signature must be in black ink. Submit assignment together with the appropriate fee.

Assignment must be signed by the assignor (registrant) only. For corporations, assignment must be signed by an authorized officer of the corporation. For general or limited partnerships, assignment must be signed by a general partner. For LLC, assignment must be signed by a manager of a manager-managed company or by a member of a member-managed company. For LLP, assignment must be signed by a partner.

Line 1. State the full name of the assignor (the current owner of the registration). State the complete address (including city, state, and zip code) of the assignor.

Line 2. Check one box to indicate the status of the assignor. If you check “Other,” you must explain what type of entity the assignor is.

If the assignor is a corporation, partnership, or limited liability company, list the state or country in which it was incorporated, formed or organized.

Line 3. State the full name of the assignee (the one to whom the registration is being assigned). State the complete address (including city, state, and zip code) of the assignee.

Line 4. Check one box to indicate the status of the assignee. If you check “Other,” you must explain what type of entity the assignee is.

If the assignee is a corporation, partnership, or limited liability company, list the state or country in which it was incorporated, formed or organized.

Line 5. (a) State the trade name, trademark or service mark to be assigned. If the mark being assigned includes a design, state the complete description of the mark and submit a sample of the design which is being assigned.

(b)State the Certificate No. of the trade name, trademark or service mark being assigned.

(c)State the classification of the trademark or service mark being assigned.

Filing Fees: Filing fee ($10.00) 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 Email Address: breg@dcca.hawaii.gov

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)

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