Transcription of CS-L(MVR) 5 OFFICE USE ONLY DEPARTMENT OF ... - Honolulu
1 TYPEWRITE or PRINT IN INK - Improperly filled application will not be Plate No.:Registration Expiration:Make:Emblem No.:Vehicle Identification No.:Registered Owner of Record:Address:The undersigned certifies that the Certificate of Registration for the above described vehicle hasbeen lost stolen mutilated defaced, and hereby requests the issuance of aduplicate, which issuance shall void the original OR MUTILATEDCERTIFICATE MUST BESURRENDERED WITHTHIS USE ONLYS ignature of Registered Owner or RecordNumber and StreetCityZip CodeApplication accepted andduplicate issuedDate - ClerkIf firm, print name and title of person AND county OF HONOLULUDEPARTMENT OF CUSTOMER SERVICESDIVISION OF MOTOR VEHICLE.
2 LICENSING AND BOX 30330 Honolulu , HAWAII 96820-0330 APPLICATION FOR DUPLICATEM otor Vehicle Certificate of RegistrationCS-L(MVR) 5(Rev. 9/03)