BoatU.S. Boat Documentation Worksheet

Copies of Bill of Sale, most recent State Registration or Document, Bank Note, the Original Builder's Certificate & Original Bill of Sale will be required if applicable. A $75.00 non-refundable deposit will be required.

Phone: 706-869-8241 Fax: 703-461-2853

Dealer's or Seller's Name:
Address:
City:	State:	Zip:
Daytime Phone:


BoatU.S. Member Number:
Name of Boat Owner (President, if corporation) as Shown on Bill of Sale:
Address:
City:	State:	Zip:
Social Security Number:
Daytime Phone:
E-Mail:
Are You a US Citizen: Yes No

Name of Co-Owner:
Address:
City:	State:	Zip:
Social Security Number:
Daytime Phone:
E-Mail:
Are You a US Citizen: Yes No

Type of Ownership Desired: Individual or Corporate (% owned by each) No Survivorship Joint Tenants with Right of Survivorship Tenants by Entirety Texas Only: Community Property with Survivorship Community Property No Survivorship Each Owning % Interest, No Survivorship


What Do You Wish To Name Your Boat?
Purchase Date:
Built By:
Year Built: Inboard?
HP Length
Hailing Port:
Most Recent Registration/Documentation #:
Type of Boat
Hull Material
Hull #:
Do You Have Orginal Builders Certification? Yes No

Name of Bank Financing Boat:
Address:
City:	State:	Zip:
Phone Number:
Loan Officer's Name:

If Corporate Ownership, Name of Corporation: (Copy of Incorporation Will Be Required)
Corp. Address:
City:	State:	Zip:

To Email click Submit below or
Print & Fax to: 703-461-2853
After reviewing your request one
of our staff will contact you.