HomeMy WebLinkAboutVehicle Junked under HRS Chapter 286 - Never Again TitledAPPLICATION FOR "JUNK" STATUS
Registration Expiration License No.
M M /DD/YY
Vehicle
Make Type Serial No.
I certify that the above described vehicle is incapable of safe operation for use on the public
highway and has no resale value except as a source of parts or scrap only. Enclosed is the
signed Certificate of Title.
This vehicle is junked under HRS §286 -51.5 and shall
By signing below, I understand that I have the option t
"JUNK"
never again be titled or registered. Signing below
STORE my plates instead of applying for
confirms my decision to junk this vehicle.
status. Signing below confirms my decision to
DECLINE the storing of my plates.
Owner
Owner
Owner
Owner
Plate(s) Surrendered? Yes No
If "NO ", Plate(s) are: Lost Destroyed
Date Owner (Signature)
Date Owner (Signature)
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