HomeMy WebLinkAboutApplication for Specialty License PlatesLICENSE NUMBER
County of Hawaii, Department of Finance
Vehicle Registration & Licensing Division
101 Pauahi St., Suite No. 5, Hilo HI 96720
APPLICATION FOR SPECIALTY LICENSE PLATES
In accordance with Section 249 -9.2, Hawai'i Revised Statutes, I hereby make application for one of the following
types of specialty license plates (CHECK ONE):
ECombat Wounded 17 Combat Veteran 17Persian Gulf
Former Prisoner of War
Pearl Harbor Survivor
Korea Veteran
Veteran 7- Other:
EWorld War II Veteran
EVietnam Veteran
I request that the specialty license plates be assigned to my:
Passenger motor vehicle
bearing license number
lPassenger motorcycle
which is currently registered in my name.
I certify that I am eligible for issuance of these specialty license plates to my vehicle pursuant to Section 249 -9.2,
Hawaii Revised Statutes and the Rules and Regulations of the Director of Finance. I have attached documentary
evidence of my eligibility or certification from the US Department of Veteran Affairs of the State of Hawaii Office of
Veteran's Services. I am also attaching my current certificate of registration for my vehicle, required fees and
periodic vehicle inspection certificate, if required.
I understand that the specialty plates may be assigned to a noncommercial passenger motor vehicle or a
noncommercial motorcycle or motor scooter registered in the name of the qualified applicant and shall be limited
to only one category listed above, per application.
I understand that prior to transferring the registered ownership of a vehicle assigned these specialty license plates, I
will surrender these plates and obtain regular issued license plates. I understand that a transfer of a registered
ownership out of my name will not be recorded until the specialty license plates are replaced.
Unless otherwise provided by law, I understand that I must pay for all applicable taxes and fees as a condition
precedent to registration and assignment of the specialty license plates.
I understand that these specialty license plates will be invalid upon expiration of the current license plate change, I
am responsible for re- applying for the new series of specialty license plates.
Signature of Applicant /Registered Owner
Print Name of Applicant /Registered Owner
Date
Street or P.O. Box Address
City, State, Zip Code
Master Appl for Spclty Plates.xls Hawai'i County is an Equal Opportunity Provider and Employer Created /Updated 7/31/2009