Laserfiche WebLink
APPLICATION FOR "JUNK" STATUS <br />Registration Expiration License No. <br />M M /DD/YY <br />Vehicle <br />Make Type Serial No. <br />I certify that the above described vehicle is incapable of safe operation for use on the public <br />highway and has no resale value except as a source of parts or scrap only. Enclosed is the <br />signed Certificate of Title. <br />This vehicle is junked under HRS §286 -51.5 and shall <br />By signing below, I understand that I have the option t <br />"JUNK" <br />never again be titled or registered. Signing below <br />STORE my plates instead of applying for <br />confirms my decision to junk this vehicle. <br />status. Signing below confirms my decision to <br />DECLINE the storing of my plates. <br />Owner <br />Owner <br />Owner <br />Owner <br />Plate(s) Surrendered? Yes No <br />If "NO ", Plate(s) are: Lost Destroyed <br />Date Owner (Signature) <br />Date Owner (Signature) <br />Hawaii County is an Equal Opportunity Provider and Employer <br />