Bidder Registration Form - Department Of The Attorney General State Of Hawaii

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Department of the Attorney General
State of Hawaii
BIDDER REGISTRATION FORM
Bidder Number
NAME:
(LAST)
( FIRST)
(Ml)
ADDRESS:
Street
City
State
Zip Code
IDENTIFICATION PROVIDED:
HAWAII DRIVER’S LICENSE
HAWAII STATE IDENTIFICATION
OTHER
IDENTIFICATION:
PHONE NO:
PURCHASE AGREEMENT
Acknowledge purchase of the property described and agree to the general and
special terms and conditions of sale.
I understand this property is sold as is, where is, with all faults, and seller makes no warranties or
guarantees whatsoever as to quantity, condition, usability, salability, authenticity of any items
bearing brand-names, merchantability, fitness, and purpose. I further agree to hold the State of
Hawaii and its employees or agents harmless from any bodily injuries, property damage and/or loss
caused by the property or by use of the property.
I certify that I am:
Not an employee and/or immediate family member of a county police department;
prosecuting attorney's office; state attorney general's office; or any other public or
private agency that serves as a seizing or petitioning agency.
I understand and agree that if I violate any of the above, my purchase will be voidable, and I may be
subject to criminal penalties.
X
(bidder’s signature)
(date)
157802_2.DOC
Rev. 12/09

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