HomeMy WebLinkAboutNon-Resident SSAHawai'i County is an Equal Opportunity Provider and Employer
DEPARTMENT OF FINANCE
COUNTY OF HAWAII
Hilo, Hawaii
NON-RESIDENT CERTIFICATE
I hereby certify that I am a member of the U.S. Armed Forces on active duty in the
State of Hawaii, that I am a legal resident of the State of
that my military organization is
and that the motor vehicle described below for which application for registration is being made is located in the County of Hawaii, State of Hawaii.
Description of Vehicle
Date
CERTIFICATE
This is to certify that the service record of the above mentioned service personnel indicates that his legal residence is as indicated above.
Date
U.S. Air Force
U.S. Air Force Reserves
U.S. Air National Guard
U.S. Army
U.S. Army Reserves
U.S. Army National Guard
U.S. Coast Guard
U.S. Coast Guard Reserves
U.S. Marine Corps
U.S. Marine Corps Reserves
U.S. Navy
U.S. Navy Reserves
Make
Body Type
Signature - Rank - Br. Svc.
Commanding or Personnel Officer - Rank - Br. Svc.
VIN#
LIC#
Issued By