Hawaii Notice of Mortgage, Pledge, or Purchase

Notice of Mortgage, Pledge, or Purchase
Form D-37, Rev. 2018, Notice of Mortgage, Pledge, or Purchase
Clear Form
FORM D-37
(REV. 2018)

STATE OF HAWAII — DEPARTMENT OF TAXATION

NOTICE OF MORTGAGE, PLEDGE, OR PURCHASE

In accordance with section 231-33(e), Hawaii Revised Statutes, notice is hereby given of the following mortgage, pledge, or purchase
made or about to be made between the parties named below:
1.	 Name and address of mortgagor, pledgor, or seller:

	

Name			

	

Social Security Number			

	

Mailing Address			

  City	

State	

Home Phone Number		

Firm or Business Name

Hawaii Tax ID Number/Federal Employer ID Number

Business Mailing Address

Postal/Zip Code  	  City	

State	

Business Phone Number		

Postal/Zip Code  

Business Phone Number

2.	 Name and address of mortgagee, pledgee, or purchaser:

	

Name			

Address or place of business

3.	 Kind of transaction (State whether mortgage, pledge, or purchase): 	

Attach copy of instrument, if available

4.	 Amount of mortgage, pledge, or purchase price (if determined):  $		

5.	 Date of mortgage, pledge, or purchase (if made):  		
	

(If recorded in the Bureau of Conveyances)  Document No.:  		

6.	 Description of property:  (If additional space is needed, use a separate sheet, or sheets, and attach same to this notice.)

By: 

	

Mortgagee, Pledgee, or Purchaser

Type or Print Name:  			
Phone Number:  		
 Date:	
........................................................................................................................
RECEIVED

Office of the Director of Taxation
Date:  		
Taxation District:  	
By:  		
Title:  		

Oahu District Office
P. O. Box 259
Honolulu, Hawaii 96809-0259
(830 Punchbowl Street)

Maui District Office
54 S. High Street #208
Wailuku, Hawaii 96793-2198

Hawaii District Office
75 Aupuni Street #101
Hilo, Hawaii 96720-4245

Kauai District Office
3060 Eiwa St. #105
Lihue, Hawaii 96766-1889

		
FORM D-37
D37_I 2018A 01 VID01

ID NO 01