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