Taxi License Renewal Application
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3COUNTY OF HAWAII
MASS TRANSIT AGENCY
TAXI LICENSE RENEWAL APPLICATION
1. Name of Applicant(s):
2. Doing Business As (dba):
(same as roof sign)
3. Mailing Address:
4. Physical Address:
5. Home Phone:
Business Phone:
Cell Phone:
6. G.E. License No.:
CH No.:
7. Applicant is: Corporation
Partnership
Single Proprietorship
Other
8. If Corporation, unincorporated association, or partnership, names and addresses of officers
and directors:
9. Primary geographic area served:
10. Days and times of operation:
11. Vehicle Description: Lic No.:
Yr.
Make
Model:
12. Name(s) of driver(s) if any:
13. Zoning Verification: Attached copy of Zoning Verification (Attachment B)
I, the undersigned official of the above company, state that the above and attached information is
true and correct. I will notify the Mass Transit Agency immediately, if any of the above
information changes.
Date:
Signature:
Title:
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