HomeMy WebLinkAboutVRL-MVR502 Application for Duplicate Certificate of Registration (Fillable)TREASURY DIVISION COLINTY OF HAWAII 101 PAUAHI STREET, SUITE 5 HILO. HAWAII 96720-4224 OFFICIAL USE ONLY TYPEWRITE OR PRINT IN INK - lmpmpaly Rlled application wlll not be accepted. License Plate Number: Registration Expiration FEE Make: Emblem Number: $5 00 a Vehicle Identification Number: The ~ndet'signad certifies that the Certificate of Registration for the above described vehide has been lost stden mutilated defaced, and hereby requests the issuance of a duplicate, which issuance shall void the orlginal certificate. SIGNATURE OF REGISTERED OWNER OF RECORD IF FIRM, PRINT NAME AND TITLE OF PERSON SIGNING Hnall Carry b m Eqrvl OpptW - md Empbyr OMY- 1QI