NOTICE OF TRANSFER
DESCRIPTION OF MOTOR VEHICLE License No.
Make: Type:
Serial Number: Date of Transfer:
TO: DEPARTMENT OF FINANCE
TREASURY DIVISION (MVR)
4444 RICE ST., STE 466
LIHUE, KAUAI, HAWAII 96766
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.
Name of Owner:
Address of New Owner:
Signature(s) of Transferor(s) or Seller(s)
Address of Transferor(s) or Seller(s)