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COUNTY OF HAWAII OFFICIAL USE ONLY <br /> DEPARTMENT OF FINANCE <br /> VEHICLE REGISTRATION&LICENSING DIVISION <br /> 101 PAUAHI STREET,SUITE NO.5 <br /> HILO,HI 96720 Number-Yearmlg'mal Issued <br /> Application accepted and duplicate issued <br /> Date Clerk <br /> TYPEWRITE OR PRINT IN INK-Improperly filled application will not be accepted. 717'171 <br /> License Plate Nulnberi Makei �L{L{ <br /> Vehicle Identlflrotion Number: �noo <br /> Registered Owner of Record: <br /> Llenholdsrof Record: <br /> Address <br /> NUMBER AND STREET CITY ZIP CODE <br /> The undersigned certifies that the Certificate of Title for the above described vehicle has been <br /> stolen 0 lost F-1 mutilated F—]defaced,and hereby requests the issuance of a <br /> duplicate.which Issuance shall void the original certificate. <br /> SIGNATURE'S)OF LIENHOLOER OF RECORD <br /> DEFACED OR MUTILATED []DRIVERS Llcs ❑DTHER <br /> CERTIFICATE MUST BE EXPIRATION DATE EXPIRATION DATE <br /> SURRENDERED WITH THIS <br /> APPLICATION <br /> SIGNATURE'S)OF LIENHOLDER OF RECORD <br /> ❑DRIVERS HraII ❑OTHER <br /> EXPIRATION DATE EXPIRATION DATE <br /> FOR OFFICE USE ONLY <br /> DUPLICATE TITLE# SIGNATURE(S)OF LIENHOLDER OF RECORD <br /> ❑DRIVERS LlCII ❑OTHER <br /> EXPIRATION DATE EXPIN-ON DATE <br /> IF FIRM,ALSO PRINT NAME AND TITLE OF PERSON SIGNING.IF NO LIENHOLDER AND JOINT OWNERSHIP,ALL OWNERS MUST SIGN. <br /> EFFECTIVE 011031]011,TO GENERATE A DUPLICATE CERTIFICATE OF TITLE,SIGNATURES MUST BE PROPERLY <br /> NOTARIZED BELOW BY A NOTARY PUBLIC,OR VERIFIED ABOVE BY PRESENTING PROPER IDENTIFICATION FROM ALL <br /> PARTIES AT THE VEHICLE REGISTRATION d LICENSING DIVISION. <br /> STATE OF HAWAII NOTARY CERTIFICATION <br /> (PLACE NOTARY SEAL HERE) (PLACE NOTARY SEAL HERE) <br /> The foregoing Instrumen[was acknowledged before me Document Date q of pages <br /> this dayof ,20 by Notary Name <br /> and, Judicial Clreult <br /> and Document D-erlption: <br /> who Is/are personally known to n who has/have <br /> produced the proper Identification as noted above. <br /> Notary Public <br /> Stale of Judicial Clrcuit <br /> Notary Signature Date <br /> My commission expires: <br />