Notice Transfer Form – Fill Out and Use This PDF

NOTICE OF TRANSFER

Notification must be made on this official form within TEN DAYS from the date of transfer or sale. Penalty for failuretocomplyisafineupto$100.00.DeliverproperlyendorsedCertificateofTitleandvalidatedCertificateof Registrationtonewbuyerorowner.

DESCRIPTION OF MOTOR VEHICLE			LICENSE PLATE NUMBER
					DATE OF
MAKE		TYPE			TRANSFER

(MONTH,DAY,YEAR)

VEHICLEIDENTIFICATIONNUMBER

YouareherebynotifiedthatI(we),theundersignedowner(s)ofthemotorvehicledescribedabove,soldor transferredmy(our)interestinsaidmotorvehicletoanewowner.

TYPEORPRINTNAMEOFNEWOWNER

TYPEORPRINT ADDRESSOFNEWOWNER

		(STREET,CITY,STATE,ZIPCODE)
TYPEORPRINTNAMEOFSELLER(S)
		SIGNATUREOFTRANSFEROR(S)ORSELLER(S)
TYPEORPRINTADDRESSOF
TRANSFEROR(S) ORSELLER(S)		(STREET)
		(CITY,STATE,ZIPCODE)
MAILCOMPLETEDNOTICETO:		DIVISION OF MOTOR VEHICLE,
		LICENSING AND PERMITS
CS-L(MVR) 53 (REV. 9/99)		P.O. BOX 30330, HONOLULU, HAWAII 96820-0330

IMPORTANT NOTICE

Youarerequiredbylaw(Section286-52,HawaiiRevisedStatutes)toimmediatelynotifytheDivisionofMotor Vehicle,LicensingandPermitswhenyousellorotherwisedisposeofavehicle.Thisformisprovidedforusein reportingthesaleortransfertotheDivisionanddoesnotconstituteapplicationfortransferofownership.

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.

WhentheinformationcontainedonthisformisrecordedbytheDivisionofMotorVehicle,LicensingandPermits (seeWARNINGbelow),liabilityforparkingand/ortrafficviolationsandcivillitigationresultingfromoperationafter thedateofsalebecomestheresponsibilityofthesubsequentpurchaser(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 owner’s 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.