HomeMy WebLinkAboutBicycle/Moped Notice of Transfer DEPARTMENT OF FINANCE
VEHICLE REGISTRATION&LICENSING DIVISION
COUNTY OF HAWAII-STATE OF HAWAII
BICYCLE/MOPED NOTICE OF TRANSFER
SELLER REQUIRED TO SUBMIT THIS FORM TO THE DEPARTMENT WITHIN 10 DAYS OF SALE,FINE$100.00
You are required by law to immediately notify the Department of Finance,Vehicle Registration&Licensing Division,when you
sell or otherwise dispose of a bicycle/moped. This form is provided for use in reporting the sale or transfer to the Division and
does not constitute application for transfer of ownership. TO REMOVE YOUR NAME FROM THE DIVISION'S RECORD,THE
NEW BUYER MUST APPLY FOR TRANSFER USING THE ENDORSED REGISTRATION RECEIVED FROM YOU. When
the information contained in this form is recorded by the Department of Finance,Vehicle Registration&Licensing Division(see
warning below),liability after the date of sale becomes the responsibility of the subsequent purchaser(s). Notification must be
made on this official form within TEN DAYS from the date of transfer or sale. Penalty for failure to comply is a fine up to$100.
Deliver property endorsed Registration to new owner or buyer. MAKE PROMPT NOTIFICATION, PROTECT YOURSELF
FROM ANY POSSIBLE LIABILITY.
WARNING: ANY INCOMPLETE, INACCURATE OR ILLEGIBLE INFORMATION WILL PREVENT THE RECORDING OF
THE INFORMATION CONTAINED IN THE NOTICE AND RESULT IN NON-COMPLIANCE WITH THE LAW.
MAIL COMPLETED NOTICE OF TRANSFER TO: Department of Finance,Vehicle Registration&Licensing Division
101 Pauahi Street,Suite 5,Hilo,HI 96720
DECAL NO. MAKE
SERIAL NO. DATE OF TRANSFER
YOU ARE HEREBY NOTIFIED THAT I (WE), THE UNDERSIGNED OWNER(S) OF THE BICYCLE/MOPED DESCRIBED
ABOVE,SOLD,OR TRANSFERRED MY(OUR)INTEREST IN SAID BICYCLE/MOPED TO A NEW OWNER.
PRINT NAME OF NEW OWNER
PRINT ADDRESS OF NEW OWNER
SIGNATURE OF TRANSFEROR(S)OR SELLER(S)
ADDRESS OF TRANSFEROR(S)OR SELLER(S)
Hawai'i County is an Equal Opportunity Provider and Employer