NOTICE OF TRANSFER
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 $100.00. Deliver properly endorsed Certificate of Title and validated Certificate of
Registration to new buyer or owner.
DESCRIPTION OF MOTOR VEHICLE
LICENSE PLATE NUMBER
DATE OF
MAKE
TYPE TRANSFER
(MONTH, DAY, YEAR)
VEHICLE IDENTIFICATION NUMBER
You are hereby notified that I (we), the undersigned owner(s) of the motor vehicle described above, sold or
transferred my (our) interest in said motor vehicle to a new owner.
TYPE OR PRINT NAME OF NEW OWNER
TYPE OR PRINT ADDRESS OF NEW OWNER
(STREET, CITY, STATE, ZIP CODE)
TYPE OR PRINT NAME OF SELLER(S)
SIGNATURE OF TRANSFEROR(S) OR SELLER(S)
TYPE OR PRINT ADDRESS OF
TRANSFEROR(S) OR SELLER(S)
(STREET)
(CITY, STATE, ZIP CODE)
MAIL COMPLETED NOTICE TO: DIVISION OF MOTOR VEHICLE,
LICENSING AND PERMITS
CS-L(MVR) 53 (REV. 9/99) P.O. BOX 30330, HONOLULU, HAWAII 96820-0330
IMPORTANT NOTICE
You are required by law (Section 286-52, Hawaii Revised Statutes) to immediately notify the Division of Motor
Vehicle, Licensing and Permits when you sell or otherwise dispose of a vehicle. This form is provided for use in
reporting the sale or transfer to the Division and does not constitute application for transfer of ownership.
YOUR LIABILITY FOR THE VEHICLE WILL NOT BE RELEASED IF YOU SUBMIT ILLEGIBLE OR INCOMPLETE INFORMATION.
TO REMOVE YOUR NAME FROM THE DIVISION’S RECORD, THE NEW BUYER MUST APPLY FOR TRANSFER USING THE ENDORSED
CERTIFICATE OF TITLE AND VALIDATED CERTIFICATE OF REGISTRATION RECEIVED FROM YOU.
When the information contained on this form is recorded by the Division of Motor Vehicle, Licensing and Permits
(see WARNING below), liability for parking and/or traffic violations and civil litigation resulting from operation after
the date of sale becomes the responsibility of the subsequent purchaser(s).
INSTRUCTIONS FOR COMPLETING THIS FORM
WARNING:
ANY INCOMPLETE, INACCURATE OR ILLEGIBLE INFORMATION WILL PREVENT THE RECORDING
OF THE INFORMATION CONTAINED IN THE NOTICE AND RESULT IN NONCOMPLIANCE WITH THE LAW.
1. This form is for registered owner transfers only. Do not submit for lienholder (legal owner) transfers.
2. Enter your license plate number in the space at the upper right area of the form.
3. Enter MAKE of vehicle (Chevrolet, Ford, etc.) and TYPE of vehicle (2DSD, 4DSD, etc.)
4. Enter vehicle identification number.
5. Enter date (month, day, year) you sold or transferred the described vehicle.
6. TYPE or PRINT new owners name and complete address on the appropriate line.
7. TYPE or PRINT your name(s) as seller(s) on the appropriate line.
8. SIGN your name immediately below the printed name of seller(s) line.
9. Enter your complete address below your signature.