HomeMy WebLinkAboutApplication for Replacement of License Plate and/or Decal New Emblem No. New Plate No.
COUNTY OF HAWAII,DEPARTMENT OF FINANCE
VEHICLE REGISTRATION&LICENSING DIVISION
101 PAUAHI ST.SUITE NO.5
HILO HI 96720
APPLICATION FOR REPLACEMENT OF LICENSE PLATE AND/OR DECAL
I hereby certify that the motor vehicle license plate
No. and/or decal no.
for
(make&type) Serial No.
has been: E] lost ❑ mutilated ❑ stolen ❑ stored ❑ destroyed
In accordance with Section 249-8, Hawaii Revised Statues as amended, I hereby make
application for the replacement of:
0 plate ❑ decal expiring
(month/year--mm/yyyy)
0 mutilated plates and/or remaining plate return for cancellation
converted to: E— passenger commercial veterans
❑ other:
Date Signature of Registered Owner
FEE: Emblem Only$.50 Plate Only$5.00 Plate and Emblem$5.50
(This application to be submitted with the current year's registration and valid safety inspection
certificate)
Hawai'i County is an Equal Opportunity Provider and Employer