HomeMy WebLinkAboutVRL-MVR503 - Application-Duplicate TitleLicense Plate Number:
Vehicle Identification Number:
Registered Owner(s) of Record:
Mailing Address:
Lienholder of Record:
Mailing Address:
stolen defaced, and hereby requests the issuance of a
ID#:
ID#:
ID#:
Document Date
day of ,20 by Notary Name
,
State of ,Judicial Circuit
My commission expires:
COUNTY OF HAWAII OFFICIAL USE ONLY
DEPARTMENT OF FINANCE
VEHICLE REGISTRATION & LICENSING DIVISION
101 PAUAHI STREET, SUITE NO. 5
HILO, HI 96720 Number - Year original issued
The undersigned certifies that the Certificate of Title for the above described vehicle has been
Date Clerk
Make:
APPLICATION FOR DUPLICATE
Motor Vehicle Certificate of Title
Application accepted and duplicate issued
STATE OF HAWAII NOTARY CERTIFICATION
(PLACE NOTARY SEAL HERE)(PLACE NOTARY SEAL HERE)
lost mutilated
CITY ZIP CODE
The foregoing instrument was acknowledged before me # of pages
STREET OR P.O. BOX ADDRESS CITY
STREET OR P.O. BOX ADDRESS
FOR OFFICE USE ONLY
DUPLICATE TITLE #
ZIP CODE
duplicate, which issuance shall void the original certificate.
and,
this
Notary Public
Judicial Circuit
who is/are personally known to me or who has/have produced
the proper identification as noted above.
and,Document Description:
EXPIRATION:
SIGNATURE OF JOINT OWNER IF NO LIENHOLDER
DEFACED OR MUTILATED
CERTIFICATE MUST BE
SURRENDERED WITH THIS
APPLICATION
SIGNATURE OF LIENHOLDER
IF NO LIENHOLDER, SIGNATURES OF ALL REGISTERED OWNERS REQUIRED
Notary Signature Date
Application for Duplicate Title.xls Created 03/17/09 Revised 11/24/2020 SUPERCEDES AND VOIDS ALL OTHER VERSIONS
TYPEWRITE OR PRINT IN BLACK OR BLUE INK - Improperly filled application will not be accepted.
TO GENERATE A DUPLICATE CERTIFICATE OF TITLE, SIGNATURES MUST BE PROPERLY NOTARIZED BELOW BY A NOTARY
PUBLIC, OR VERIFIED BY PRESENTING PROPER IDENTIFICATION FROM ALL PARTIES
EXPIRATION:
SIGNATURE OF JOINT OWNER IF NO LIENHOLDER
EXPIRATION: