Broker:
Brokerage
Email:
Phone #:
Request for USCG DocumentationState Registration
*Send copy of COD / BC/MSO / Title or Registration*
Order Abstract / DMV Search:
YesNo
Documentation fees will be paid by:
BrokerBuyerOther
USCG Official # or State Reg. #
Hull ID #:
Current Vessel Name:
New Vessel Name:
Current Hailing Port:
New Hailing Port:
Seller(s) Name(s):
Address:
City State Zip:
Email Address:
Cell:
Fax:
Payoff Bank:
Account #:
Buyer(s) Name(s) as on Passport(s) / DL:
Address (Physical AND Mailing):
EIN# (if ownership in Entity):
Are all Buyers U.S. Citizens? YesNo
New Lender Name:
City State Zip
Amount Financed: $
Vessel Mooring Address:
Mortgage/Note to be dated:
Recreationalor Commercial
Trade-In (if applicable):
Vessel Name:
Official # or State Reg. #:
Lien Holder for Trade-In:
If a tender/trailer is included in purchase, will we be handling the DMV paperwork? Additional fees will apply.
YesNoN/A
Tender/Dinghy/Trailer Reg. #:
Hull/VIN#:
*Will the boat be heading out of the country within the next 2-3 months? If so, where and when will it be traveling?*
NoYes
If traveling what is the applicable date?:
Attach files: Acceptable types are PNG, JPG, and PDF (maximum 10MB)