HomeMy WebLinkAboutPWR CertificateCounty of Hawaii
DEPARTMENT OF FINANCE
Vehicle Registration & Licensing Division
101 Pauahi Street, Suite No. 5, Hilo, Hawaii 96720 -4224
(808) 961 -8351 • (808) 961 -8330 (FAX)
Certificate of Motor Vehicle Dealer of
Used Parts and Accessories Form
The undersigned Motor Vehicle Dealer of Used Parts and accessories in the County of Hawaii
does hereby certify that there have been no changes since the last filing of an application for
Motor Vehicle Dealer of Used Parts and Accessories License in respect to:
1) Personnel of owners, partners, officers or directors
2) Location of offices, or principal place of business
3) That no proceeding is pending for the suspension or revocation of the licensee's
existing license
Business Name
Owner Signature
Print Owner Name
Date
For Office Use Only: Sequence No. New No. Issued: Previous No.
County of Hawai'i is an Equal Opportunity Provider and Employer. Complaints of discrimination should be sent to:
USDA, Director, Office of Civil Rights, Washington, DC 20250 -9410. Or call (202) 720 -5964 (Voice and TDD).
Last Updated 10/17/12