HomeMy WebLinkAboutBicycle/Moped Notice of Transfer (Fillable)SELLER REQUIRED TO SUBMIT THIS FORM TO THE DEPARTMENT WITHIN 10 DAYS OF SALE, FINE $100.00 WARNING:MAIL COMPLETED NOTICE OF TRANSFER TO:DECAL NO.MAKE SERIAL NO.DATE OF TRANSFER ADDRESS OF TRANSFEROR(S) OR SELLER(S)ANYINCOMPLETE,INACCURATEORILLEGIBLEINFORMATIONWILLPREVENTTHERECORDINGOF THE INFORMATION CONTAINED IN THE NOTICE AND RESULT IN NON-COMPLIANCE WITH THE LAW.SIGNATURE OF TRANSFEROR(S) OR SELLER(S)Hawai'i County is an Equal Opportunity Provider and Employer DEPARTMENT OF FINANCE V EHICLE REGISTRATION & LICENSING DIVISION COUNTY OF HAWAII - STATE OF HAWAII BICYCLE/MOPED NOTICE OF TRANSFER YOUAREHEREBYNOTIFIEDTHATI(WE),THEUNDERSIGNEDOWNER(S)OFTHEBICYCLE/MOPEDDESCRIBED 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 Youarerequiredb y lawtoimmediatel y notif y theDepartmen t o f Finance,VehicleRegistration&LicensingDivision,whenyou sellorotherwisedisposeofabicycle/moped.ThisformisprovidedforuseinreportingthesaleortransfertotheDivisionand doesnotconstituteapplicationfortransferofownership.TOREMOVEYOURNAMEFROMTHEDIVISION'SRECORD,THE NEWBUYERMUSTAPPLYFORTRANSFERUSINGTHEENDORSEDREGISTRATIONRECEIVEDFROMYOU.When theinformationcontainedinthisformisrecordedbytheDepartmentofFinance,VehicleRegistration&LicensingDivision(see warningbelow),liabilityafterthedateofsalebecomestheresponsibilityofthesubsequentpurchaser(s).Notificationmustbe madeonthisofficialformwithinTENDAYSfromthedateoftransferorsale.Penaltyforfailuretocomplyisafineupto$100.DeliverpropertyendorsedRegistrationtonewownerorbuyer.MAKEPROMPTNOTIFICATION,PROTECTYOURSELF FROM ANY POSSIBLE LIABILITY.Department of Finance, Vehicle Registration & Licensing Division 101 Pauahi Street, Suite 5, Hilo, HI 96720 Master M-B Notice of Transfer.xls Hawai'i County is an Equal Opportunity Provider and Employer Created 10/27/2008 Updated 7/29/2009