Ka Wai Ola - Office of Hawaiian Affairs, Volume 30, Number 9, 1 September 2013 — Page 31 Advertisements Column 2 [ADVERTISEMENT]

Tbe Real Estate Lady QUILIT POKI 1n today's competitive real estate market, you need an expert in the fleld. Home prices are on the rise, reflecting a growing seller's market. Call me today for a free home evaluation of your fee simple or Homestead property!

[?]

Charmaine I. Quilit Poki REALTOR. GRI. CRS, CDPE PruderUal LūeaHione LLC Phone: fB08) 732-5ū4B Cell: (008) 295-4474 charmaine.quilitpokī@pruhawaii . eom www.CharmaīneQuilitPokLCom 27 Vesrs afExperience

I want to be left off the transfer list. j , hereby instruct the Office of Hawaiian Affairs (OHA) to withhold my name and my other information when transferring information to the Native Hawaiian Roll Commission under the Act 77 transfer process. I hereby certify that I am 18years of age or older and that I am legally authorized to contract in my own name. Mail to: OHA-No roll; 71 1 Kapi'olani Blvd., Ste 500; Hon. Hl 96813. Nameon Birth Certificate (First, middle, last) Dateofbirth Mailing address City State Zip Phone Email Signature By signing this form, I releaseand discharge OHAfrom any and all liability, claims, and demands arising out of OHA's withholding of my nameand my other information based upon this written request, including the possible loss of rights and recognitions conferred upon members of theofficial roll created under Act 195.