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Application for Registration of Trailer
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Application for Registration of Trailer
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Last modified
8/18/2011 3:12:12 PM
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8/18/2011 3:12:08 PM
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VRL-MVR500T - Application for Registration of Trailer (Fillable)
(Original Version)
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\Finance Department\Vehicle Registration and Licensing\Licensing and Registration Forms\MVR
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COUNTY OF HAWAII <br /> DEPARTMENT OF FINANCE <br /> VEHICLE REGISTRATION&LICENSING DIVISION <br /> 101 PAUAHI STREET,SUITE NO.5 <br /> HILO,HAWAII 96720 <br /> APPLICATION FOR REGISTRATION OF TRAILER <br /> TYPEWRITE OR PRINT IN INK REGISTRATION EXPIRES <br /> Make: Model: Body Type: OFFICE USE ONLY <br /> VIN# County Tax <br /> Weight: Lbs. GVW Lbs.Year Model: State Tax <br /> COLOR TOP OR FRONT COLOR 80TTOM OR REAR Date Sold New: State Registration <br /> Beautification <br /> Safety Inspection Expires: Total Tax <br /> Plate/Emblem <br /> OFFICE USE ONLY County Fee <br /> Present Lic.No. State: <br /> ACCEPTED: PENALTY <br /> TITLE REG. CAI B/S MSO County <br /> B/L PERMIT# State <br /> HOLD FOR: Total Penalty <br /> TITLE REG. CAI B/S MSO Transfer Fee <br /> DATE ISSUED: CLERK: Total <br /> Hawai'i County is an Equal Opportunity Provider and Employer <br /> TYPEWRITE OR PRINT IN INK <br /> REGISTERED OWNER(S): <br /> Name <br /> LAST FIRST MI <br /> LAST FIRST MI <br /> Mailing Address <br /> STREET OR P.O.BOX ADDRESS <br /> CITY STATE ZIP CODE <br /> made for the purpose of licensing the herein described trailer and not for titling <br /> t I <br /> I (we) hereby certify that I am (we are) the owner(s) to the extent indicated hereon of the trailer <br /> described by the application and that the foregoing statement is true to the best of my (our) <br /> knowledge and belief. <br /> IF FIRM,PRINT NAME AND TITLE OF AUTHORIZED PERSON <br /> X <br /> SIGNATURE(S)OF REGISTERED OWNER(S)SHOWN ABOVE OR IF FIRM,AUTHORIZED PERSON <br /> To be filled in by Branch of Service <br /> members of U.S. 0. <br /> military forces. Station <br /> If vehicle purchased This application certified true and correct. <br /> new locally,dealer ► Name of Dealer <br /> countersign here. By <br /> AUTHORIZED SIGNATURE <br />
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