watercraft title and regsitration applicationi /we the owners of this watercraft certify the...

6
- - -- -- m, LB014 05 NEW TITLE NUMBER DEPARTMENT OF NATURAL RESOURCES STATE OF MINNESOTA DEPARTMENT OF NATURAL RESOURCES DIVISION OF FISH & WILDLIFE/ LICENSE CENTER 500 LAFAYETTE ROAD SAINT PAUL, MINNESOTA 55155-4026 WATERCRAFT TITLE & REGISTRATION APPLICATION REGISTRATION NUMBER (MUST BE I EXPIRES LAST DAY OF I PURCHASE DATE STATE WHERE WATERCRAFT INDICATED) (MONTH) (YEAR) REGISTERED OR MSO I SECTION 1 LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER NEW OWNER(S / PURCHASER(S) STREET ADDRESS I CITY I I STATE I ZIPCODE MUST COMPLETE LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER STREET ADDRESS I CITY * ADDITIONAL OWNERS WILL NEED TO COMPLETE ANOTHER APPLICATION & ATTACH * COUNTY MOST USED :,; ,~ g !! c:; z w i 0 C "' -' C <C ;:l! <I) 11: SECTION 2 LOAN INFORMATION MUST COMPLETE SECTION 3 SELLERS MUST COMPLETE & SIGN SECTION 5 ALL APPLICANTS MUST SIGN LENGTH MAKE OF BOAT FT IN t;: <C f g; c:: g <I) u { C g ! C -' "' c:: -' c:: ;ii -' "' c:: w 5 >- C ::c w c3 <I) c:: ii:: z 0 c3 <C g; g ::;; 0 z "' w -' CJ ::;; g ;'! z c3 ffi 0 z <I) ffi <I) C gi "' iii z C ::c ti "' c:: § 0 <C <C <I) c:: 11: c:: 0 u ::c <C <C I I STATE MODEL w <I) CJ z c:: 0 -' :i: <I) u: >- u: 0 ;'! ffi c:: c:: <C ::c u z 0 z CJ z :i: <I) u: -' <C u ffi ::;; ::;; 0 u CJ z c:: 5 cri <I) 11: ffi ::;; ::c 0 u ti IS THIS WATERCRAFT SUBJECT TO SECURITY AGREEMENT(S)? YES NO IF YES, COMPLETE INFORMATION BELOW. FIRST SECURED PARTY (PRINT NAME) TIME & DATE OF LOAN AM PM ADDRESS (NUMBER & STREET, RFD, BOX NUMBER & CITY) I STATE I ZIPCODE FOR VALIDATION AND OFFICE USE ONLY DATE OF BIRTH I I PHONE NUMBER (DURING THE DAY) ( ) - DATE OF BIRTH I I PHONE NUMBER (DURING THE DAY) ( ) - HULL ID. NUMBER (WILL BE 12 CHARACTERS FOR 1972 ON) <I) w z -' "' z - <C u ;'! 0 i 0 ::;; 0 u - C 0 0 ;;: z <C -' w w >- <I) <I) <I) :'.3 CJ ffi "' u: u .= <I) ffi "' c:: -' >- z > -' -' :::, ::c C a a: ffi ::c ti ; 0 -' <C <I) w 2: c:: C z I I ZIP CODE C c3 "' 11· C c:: c3 0 w > a: C C <I) C c:: c3 "' a: 5 ::;; z 0 z ffi 5 YEAR >- >- w gi -, -' c:: :3 ffi i!: z ::c c:: <C ::;; ti <C w u z a: ::J -' w 0 ffi <I) 13 <C c CJ 5 ASSIGNMENT BY SELLER I /WE THE OWNERS OF THIS WATERCRAFT CERTIFY THE WATERCRAFT IS FREE OF ALL SECURITY INTEREST, WARRANT TITLE, AND ASSIGN THE TAXES PAID TO THE PERSON(S) NAMED ABOVE SELLER(S) TRANSFEROR(S) SIGNATURES(S) (ALL SELLERS MUST SIGN) DATE OF SALE SECTION 4 X PLEASE PAY X STREET ADDRESS CITY DEALER NAME (IF SELLER IS A DEALER) STATE ZIP CODE DEALER PHONE NUMBER c:::> TITLE/ TRANSFER FEE RENEWAL/ REGISTRATION (IF DUE) EXOTIC SPECIES SURCHARGE (DUE WITH REGISTRATION/ RENEWAL ONLY) VIEWED TAX PAID (DEPUTY REGISTRAR ONLY) 0 YES NO SALES TAX DUE STATE/ DEPUTY Fl LI NG FEE TOTAL AMOUNT DUE I/ WE LISTED ABOVE AM/ ARE THE NEW OWNER(S) / PURCHASER(S) OF THE WATERCRAFT DESCRIBED ABOVE AND DO HEREBY MAKE APPLICATION FOR THE CERTIFICATE OF TITLE AND CERTIFY, UNDER PENALTY OF PERJURY, THAT THE STATEMENTS MADE HEREIN ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE, INFORMATION, AND BELIEF, AND THAT THE WATERCRAFT IS SUBJECT TO THE LIEN AND ENCUMBRANCE LISTED AND NONE OTHER X X SIGNATURE DATE SIGNATURE DATE MUST BE SIGNED PERSONALLY BY THE OWNER(S). IF FIRM OR CORPORATION BY AN AUTHORIZED AGENT ALL DATA COLLECTED ON A WATERCRAFT APPLICATION ARE USED TO IDENTIFY YOUR WATERCRAFT FAILURE TO PROVIDE REQUIRED DATA MAY RESULT IN DENIAL OF TRANSFER OF OWNERSHIP, REGISTRATION OF THIS WATERCRAFT OR OTHER REQUESTED ACTION DO NOT SIGN UNTIL COMPLETED DEPARTMENT COPY

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-- --m, LB014 05

NEW TITLE NUMBER DEPARTMENT OF NATURAL RESOURCES STATE OF MINNESOTA DEPARTMENT OF NATURAL RESOURCES DIVISION OF FISH & WILDLIFE/ LICENSE CENTER 500 LAFAYETTE ROAD SAINT PAUL, MINNESOTA 55155-4026

WATERCRAFT TITLE & REGISTRATION APPLICATION REGISTRATION NUMBER (MUST BE I EXPIRES LAST DAY OF I PURCHASE DATE STATE WHERE WATERCRAFT INDICATED) (MONTH) (YEAR) REGISTERED OR MSO

I SECTION 1 LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER

NEW OWNER(S / PURCHASER(S) STREET ADDRESS I CITY

I I STATE I ZIPCODE

MUST COMPLETE LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER •

STREET ADDRESS I CITY

* ADDITIONAL OWNERS WILL NEED TO COMPLETE ANOTHER APPLICATION & ATTACH * COUNTY MOST USED

:,; ,~ g!! c:; zwi ~ 0

C "' -' ~ C<C ;:l!<I) 11:

SECTION 2

LOAN INFORMATION

MUST COMPLETE

• SECTION 3

SELLERS

MUST COMPLETE &

SIGN

SECTION 5

ALL APPLICANTS

MUST SIGN

LENGTH MAKE OF BOAT

FT IN

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FIRST SECURED PARTY (PRINT NAME) TIME & DATE OF LOAN

AM PM

ADDRESS (NUMBER & STREET, RFD, BOX NUMBER & CITY) I STATE

I ZIPCODE

FOR VALIDATION AND OFFICE USE ONLY

DATE OF BIRTH

I I PHONE NUMBER (DURING THE DAY)

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ASSIGNMENT BY SELLER

I /WE THE OWNERS OF THIS WATERCRAFT CERTIFY THE WATERCRAFT IS FREE OF ALL SECURITY INTEREST, WARRANT TITLE, AND ASSIGN THE TAXES PAID TO THE PERSON(S) NAMED ABOVE SELLER(S) TRANSFEROR(S) SIGNATURES(S) (ALL SELLERS MUST SIGN) DATE OF SALE SECTION 4

X PLEASE PAY

X STREET ADDRESS

CITY

DEALER NAME (IF SELLER IS A DEALER) STATE ZIP CODE

DEALER PHONE NUMBER c:::>

TITLE/ TRANSFER FEE

RENEWAL/ REGISTRATION (IF DUE)

EXOTIC SPECIES SURCHARGE (DUE WITH REGISTRATION/ RENEWAL ONLY)

VIEWED TAX PAID (DEPUTY REGISTRAR ONLY)

0 YES NO� SALES TAX DUE

STATE/ DEPUTY Fl LI NG FEE

TOTAL AMOUNT DUE

I/ WE LISTED ABOVE AM/ ARE THE NEW OWNER(S) / PURCHASER(S) OF THE WATERCRAFT DESCRIBED ABOVE AND DO HEREBY MAKE APPLICATION FOR THE CERTIFICATE OF TITLE AND CERTIFY, UNDER PENALTY OF PERJURY, THAT THE STATEMENTS MADE HEREIN ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE, INFORMATION, AND BELIEF, AND THAT THE WATERCRAFT IS SUBJECT TO THE LIEN AND ENCUMBRANCE LISTED AND NONE OTHER

X X SIGNATURE DATE SIGNATURE DATE

MUST BE SIGNED PERSONALLY BY THE OWNER(S). IF FIRM OR CORPORATION BY AN AUTHORIZED AGENT

ALL DATA COLLECTED ON A WATERCRAFT APPLICATION ARE USED TO IDENTIFY YOUR WATERCRAFT FAILURE TO PROVIDE REQUIRED DATA MAY RESULT IN DENIAL OF TRANSFER OF OWNERSHIP, REGISTRATION OF THIS WATERCRAFT OR OTHER REQUESTED ACTION

DO NOT SIGN UNTIL COMPLETED

DEPARTMENT COPY

LB014-05 - FOR VALIDATION AND -m, OFFICE USE ONLY NEW TITLE NUMBERDEPARTMENT OF

NATURAL RESOURCES STATE OF MINNESOTA DEPARTMENT OF NATURAL RESOURCES DIVISION OF FISH & WILDLIFE/ LICENSE CENTER 500 LAFAYETTE ROAD SAINT PAUL, MINNESOTA 55155-4026

WATERCRAFT TITLE & REGISTRATION APPLICATION REGISTRATION NUMBER (MUST BE STATE WHERE WATERCRAFT I EXPIRES LAST DAY OF I PURCHASE DATE INDICATED)

SECTION 1

NEW OWNER(S I PURCHASER(S)

MUST COMPLETE

i SECTION 2

LOAN INFORMATION

MUST COMPLETE

:><.I. IIUN J

SELLERS

MUST COMPLETE &

SIGN

SECTION 5

ALL APFU CANTS

MUST SIGN

(MONTH) (YEAR) REGISTERED OR MSO

I LAST FI RST FULL Ml ODLE NAME DRIVERS LICENSE NUMBER DATE OF Bl RTH

I II STREET ADDRESS PHONE NUMBER (DURING THE DAY) I CITY I STATE I ZIP CODE

( ) -LAST FIRST FULL Ml DOLE NAME DRIVERS LICENSE NUMBER DATE OF Bl RTH

STREET ADDRESS I CITY

* ADDITIONAL OWNERS WILL NEED TO COMPLETE ANOTHER APPLICATI ON & ATTACH.*

COUNTY MOST USED LENGTH

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I /WE THE OWNERS OF THIS WATERCRAFT CERTIFY THE WATERCRAFT IS FREE OF ALL SECURITY INTEREST, WARRANT TITLE, AND ASSIGN THE TAXES PAID TO THE PERSON IS) NAMED ABOVE. SELLER(S) TRANSFEROR(S) SIGNATURES(S) (ALL SELLERS MUST SIGN ) DATE OF SALE

X X STREET ADDRESS

CITY

DEALER NAME (IF SELLER IS A DEALER) STATE ZIP CODE

DEALER PHONE NUMBER

SECTION 4

PLEASE PAY

~

TITLE / TRANSFER FEE

RENEWAL I REGISTRATION (IF DUE)

EXOTIC SPECIES SURCHARGE (DUE WITH REGISTRATION /RENEWAL ONLY)

VIEWED TAX PAID (DEPUTY REGISTRAR ONLY)

0 YES NO � SALES TAX DUE

STATE I DEPUTY FILING FEE

TOTAL AMOUNT DUE

I / WE LISTED ABOVE AM/ ARE THE NEW OW NER(S) / PURCHASER(S) OF THE WATERCRAFT DESCRIBED ABOVE AND DO HEREBY MAKE APPLICATION FOR T HE CERTI FICATE OF T ITLE AND CERTIFY , UNDER P ENALTY OF PERJURY , THAT THE ST ATEMENTS MADE HEREIN ARE TRUE A ND CORRECT TO THE BEST OF MY KNOWLEDGE, INFORMATION, AND BELIEF, AND THAT THE WATERCRAFT IS SUBJECT TO THE LIEN AND ENCUMBRANCE LISTED AND NONE OTHER

X X SIGNATURE DATE SIGNATURE DATE

MUST BE SIGNED PERSONALLY BY THE OWNER(St IF FIRM OR CORPORA T!ON BY AN AUTHORIZED AGENT

THE ABOVE NAMED PERSON HAS PAID VALID ONLY WITH TEMPORARY LICENSE STAMP LICENSE FEE AND THE APPLICATION IS

DEPUTY REGISTRAR STAMP BEING PROCESSED. THIS RECEIPT EXPIRES 21 DAYS FROM DATE OF ISSUE.

NOTICE: THE COMMISSIONER MAY NOT ISSUE Cf\ RENE'N A 'iVATERCRAFT LICENSE TOAN OVVNER OF A WATERCRAFT SUBJECT TO TITLE UNLESS THE OV\NER PURCHASER COPY HAS BEEN ISSUED Cf\ HAS APPLIED FCf\ A CERT IFICATE OF TITLE FCf\ THE WATERCRAFT THE VALIDATED COPY OF YOUR APPLICATION FCf\ TITLE 'i,I-IEN TITLED ONLY MUST BE PRESENTED TO THE DEPUTY REGISTRAR OF THE LICENSE CENTER WHEN WATERCRAFT IS REGISTERED Cf\ RENE'NED

m, LB014-05

NEW TITLE NUMBERDEPARTMENT OF NATURAL RESOURCES STATE OF MINNESOTA DEPARTMENT OF NATURAL RESOURCES DIVISION OF FISH & WILDLIFE/ LICENSE CENTER 500 LAFAYETTE ROAD SAINT PAUL, MINNESOTA 55155-4026

WATERCRAFT TITLE & REGISTRATION APPLICATION REGISTRATION NUMBER (MUST BE I EXPIRES LAST DAY OF I PURCHASE DATE STATE WHERE WATERCRAFT INDICATED) (MONTH) (YEAR) REGISTERED OR MSO

I LAST FI RST FULL Ml ODLE NAME DRIVERS LICENSE NUMBER SECTION 1

INEW OWNER(S I STREET ADDRESS PURCHASER(S) I CITY I STATE I ZIP CODE

MUST COMPLETE LAST FIRST FULL Ml DOLE NAME DRIVERS LICENSE NUMBER •

STREET ADDRESS I CITY

* ADDITIONAL OWNERS WILL NEED TO COMPLETE ANOTHER APPLICATI ON & ATTACH.*

COUNTY MOST USED

!;;;II 0

w ::; z ~ 0

i ~ 0 0..., "' ;:; 0

5 z < ;::i 21:"'

SECTION 2

LOAN INFORMATION

MUST COMPLETE

SECTION 3

SELLERS

MUST COMPLETE &

SIGN

SECTION 5

ALL APFU CANTS

MUST SIGN

LENGTH MAKE OF BOAT

FT IN

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IS THIS WATERCRAFT SUBJECT TO SECURITY AGREEMENT(S)?

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AM PM

ADDRESS (NUMBER & STREET, RFD, BOX NUMBER & CITY) STATE

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I I PHONE NUMBER (DURING THE DAY )

( ) -

HULL I D NUMBER (WILL BE 12 CHARACTERS FOR 1972 ON)

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ASSIGNMENT BY SELLER

I / WE THE OWNERS OF THIS WATERCRAFT CERTIFY THE WATERCRAFT IS FREE OF ALL SECURITY INTEREST , WARRANT TITLE, AND ASSIGN THE TAXES PAID TO THE PERSON IS) NAMED ABOVE SELLER(S) TRANSFEROR(S) SIGNATURES(S) (ALL SELLERS MUST SIGN) DATE OF SALE SECTION 4

X PLEASE PAY

X STREET ADDRESS

CITY

DEALER NAME (IF SELLER IS A DEALER) STATE ZIP CODE

DEALER PHONE NUMBER q

TITLE I TRANSFER FEE

RENEWAL/ REGISTRATION (IFWE)

EXOTIC SPECIES SURCHARGE (DUE WITH REGISTRATION / RENEWAL ONLY)

VIEWED T AX PAID (DEPUTY REGISTRAR ONLY)

0 YES NO� SALES TAX DUE

STAT E I DEPUTY FILING FEE

TOTAL AMOUNT DUE

I / WE LISTED ABOVE AM I ARE THE NEW OWNER(S) I PURCHASER(S) OF THE WATERCRAFT DESCRIBED ABOVE AND DO HEREBY MAKE APPLICATION FOR THE CERTIFICATE OF T ITLE AND CE RTIFY , UNDER PENALTY O F P ERJURY , THAT THE STATEMENTS MADE HEREIN ARE TRUE AND CORRE CT T O THE BEST OF M Y KNOWLEDGE, INFORMATION, AND BELIEF, AND THAT THE WATERCRAFT IS SUBJECT TO THE LIEN AND ENCUMBRANCE LISTED AND NONE OTHER

X X SIGNATURE DATE SIGNATURE DATE

MUST BE SIGNED PERSONALLY BY THE OWNER(S) IF FIRM OR CORPORATION BY AN AUTHORIZED AGENT

ALL DATA COLLECTED ON A WATERCRAFT APPLICAT ION ARE USED TO IDENT IFY YOUR WATERCRAFT. FAILURE TO PROVIDE REQUIRED DATA MAY RESULT IN DEN IAL OF TRANSFER OF OWNERSH IP, REGISTRAT ION OF THIS WATERCRAFT OR OTHER REQUESTED ACT ION

DO NOT SIGN UNTIL COMPLETED

SELLER COPY

m, LB014-05

NEW TITLE NUMBERDEPARTMENT OF NATURAL RESOURCES STATE OF MINNESOTA DEPARTMENT OF NATURAL RESOURCES DIVISION OF FISH & WILDLIFE/ LICENSE CENTER 500 LAFAYETTE ROAD SAINT PAUL, MINNESOTA 55155-4026

WATERCRAFT TITLE & REGISTRATION APPLICATION REGISTRATION NUMBER (MUST BE I EXPIRES LAST DAY OF I PURCHASE DATE STATE WHERE WATERCRAFT INDICATED) (MONTH) (YEAR) REGISTERED OR MSO

I LAST FI RST FULL Ml ODLE NAME DRIVERS LICENSE NUMBER SECTION 1

INEW OWNER(S I STREET ADDRESS PURCHASER(S) I CITY I STATE I ZIP CODE

MUST COMPLETE LAST FIRST FULL Ml DOLE NAME DRIVERS LICENSE NUMBER •

STREET ADDRESS I CITY

* ADDITIONAL OWNERS WILL NEED TO COMPLETE ANOTHER APPLICATI ON & ATTACH.*

COUNTY MOST USED

!;;;II 0

w ::; z ~ 0

i ~ 0 0..., "' ;:; 0

5 z < ;::i 21:"'

SECTION 2

LOAN INFORMATION

MUST COMPLETE

SECTION 3

SELLERS

MUST COMPLETE &

SIGN

SECTION 5

ALL APFU CANTS

MUST SIGN

LENGTH MAKE OF BOAT

FT IN

I-~ cc ~:::,

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II STATE

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IS THIS WATERCRAFT SUBJECT TO SECURITY AGREEMENT(S)?

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AM PM

ADDRESS (NUMBER & STREET, RFD, BOX NUMBER & CITY) STATE

I

MODEL

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C,C,

�z z

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DATE OF Bl RTH

I I PHONE NUMBER (DURING THE DAY)

( ) -DATE OF Bl RTH

I I PHONE NUMBER (DURING THE DAY )

( ) -

HULL I D NUMBER (WILL BE 12 CHARACTERS FOR 1972 ON)

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YEAR

t;; :::, ...,cc <:c :::, ffiI- z :ccc <

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ASSIGNMENT BY SELLER

I / WE THE OWNERS OF THIS WATERCRAFT CERTIFY THE WATERCRAFT IS FREE OF ALL SECURITY INTEREST , WARRANT TITLE, AND ASSIGN THE TAXES PAID TO THE PERSON IS) NAMED ABOVE SELLER(S) TRANSFEROR(S) SIGNATURES(S) (ALL SELLERS MUST SIGN) DATE OF SALE SECTION 4

X PLEASE PAY

X STREET ADDRESS

CITY

DEALER NAME (IF SELLER IS A DEALER) STATE ZIP CODE

DEALER PHONE NUMBER q

TITLE I TRANSFER FEE

RENEWAL/ REGISTRATION (IFWE)

EXOTIC SPECIES SURCHARGE (DUE WITH REGISTRATION / RENEWAL ONLY)

VIEWED T AX PAID (DEPUTY REGISTRAR ONLY)

0 YES NO� SALES TAX DUE

STAT E I DEPUTY FILING FEE

TOTAL AMOUNT DUE

I / WE LISTED ABOVE AM I ARE THE NEW OWNER(S) I PURCHASER(S) OF THE WATERCRAFT DESCRIBED ABOVE AND DO HEREBY MAKE APPLICATION FOR THE CERTIFICATE OF T ITLE AND CE RTIFY , UNDER PENALTY O F P ERJURY , THAT THE STATEMENTS MADE HEREIN ARE TRUE AND CORRE CT T O THE BEST OF M Y KNOWLEDGE, INFORMATION, AND BELIEF, AND THAT THE WATERCRAFT IS SUBJECT TO THE LIEN AND ENCUMBRANCE LISTED AND NONE OTHER

X X SIGNATURE DATE SIGNATURE DATE

MUST BE SIGNED PERSONALLY BY THE OWNER(S) IF FIRM OR CORPORATION BY AN AUTHORIZED AGENT

ALL DATA COLLECTED ON A WATERCRAFT APPLICAT ION ARE USED TO IDENT IFY YOUR WATERCRAFT. FAILURE TO PROVIDE REQUIRED DATA MAY RESULT IN DEN IAL OF TRANSFER OF OWNERSH IP, REGISTRAT ION OF THIS WATERCRAFT OR OTHER REQUESTED ACT ION

DO NOT SIGN UNTIL COMPLETED

LENDER COPY

LB014-05 m, DEPARTMENT OF NATURAL RESOURCES STATE OF MINNESOTA DEPARTMENT OF NATURAL RESOURCES DIVISION OF FISH & WILDLIFE/ LICENSE CENTER 500 LAFAYETTE ROAD SAINT PAUL, MINNESOTA 55155-4026

WATERCRAFT TITLE & REGISTRATION APPLICATION REGISTRATION NUMBER (MUST BE EXPIRES LAST DAY OF STATE WHERE WATERCRAFT I PURCHASE DATE INDICATED) (MONTH) (YEAR) REGISTERED OR MSO

I I LAST FIRST FULL Ml DOLE NAME DRIVERS LICENSE NUMBER SECTION 1

INEW OWNER(S I STREET ADDRESS PURCHASER(S) I CITY I STATE

MUST COMPLETE LAST FIRST FULL Ml DOLE NAME•

STREET ADDRESS I CITY

* ADDITIONAL OWNERS WILL NEED TO COMPLETE ANOTHER APPLICATI ON & ATTACH.*

COUNTY MOST USED LENGTH MAKE OF BOAT

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-o.i SECTION 2

LOAN INFORMATION

MUST COMPLETE

SECTION 3

SELLERS

MUST COMPLETE &

SIGN

SECTION 5

ALL APFU CANTS

MUST SIGN

NEW TITLE NUMBER

II STATE

MODEL

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I ZIP COCE

DRIVERS LICENSE NUMBER

I ZIP COCE

IS THIS WATERCRAFT SUBJECT TO SECURITY AGREEMENT(S)?

� YES 0 NO IF YES, COMPLETE INFORMATION BELOW.

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ADDRESS (NUMBER & STREET, RFD, BOX NUMBER & CITY)

AM PM

I STATE

I I ZIP CODE

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ASSIGNMENT BY SELLER

FOR VALIDATION AND OFFICE USE ONLY

DATE OF Bl RTH

I I PHONE NUMBER (DURING THE DAY)

( ) -DATE OF Bl RTH

I I PHONE NUMBER (DURING THE DAY )

HULL I D NUMBER (WILL BE 12 CHARACTERS FOR 1972 ON)

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I / WE THE OWNERS OF THIS WATERCRAFT CERTIFY THE WATERCRAFT IS FREE OF ALL SECURITY INTEREST, WARRANT TITLE, AND ASSIGN THE TAXES PAID TO THE PERSON IS) NAMED ABOVE SELLER(S) TRANSFEROR(S) SIGNATURES(S) (ALL SELLERS MUST SIGN ) DATE OF SALE SECTION 4

X--------------------------x STREET ADDRESS

CITY

DEALER NAME (IF SELLER IS A CEALER) STATE ZIP CODE

DEALER PHONE NUMBER

PLEASE PAY

TITLE I TRANSFER FEE

RENEWAL/ REGISTRATION (IF DUE)

EXOTIC SPECIES SURCHARGE (DUE WITH REGISTRATION / RENEWAL ONLY)

VIEWED T AX PAID (DEPUTY REGISTRAR ONLY)

0 YES ONO

SALES TAX DUE

STATE I DEPUTY FILING FEE

TOTAL AMOUNT DUE

I / WE LISTED ABOVE AM I ARE THE NEW OWNER(S) I PURCHASER(S) OF THE WATERCRAFT CE SCRIBED ABOVE AND DO HEREBY MAKE APPLICATION FOR THE CERTIFICATE OF TITLE AND CE RTIFY , UNCE R PENALTY O F P ERJURY , THAT THE STATEMENTS M ACE HEREIN ARE TRUE A ND CORRE CT T O THE BEST OF M Y KNOWLEDGE, INFORMATION, AND BELIEF, AND THAT THE WATERCRAFT IS SUBJECT TO THE LIEN AND ENCUMBRANCE LISTED AND NONE OTHER

X ""s ""1""N"' R"' _ XG A""T""U"'E_____________ "'s ""1"""""'U"",,..--------------GNAT""REDATE DATE

MUST BE SIGNED PERSONALLY BY THE OWNER($) IF FIRM OR CORPORATION BY AN AUTHORIZED AGENT

ALL DATA COLLECTED ON A WATERCRAFT APPLICAT ION ARE USED TO IDENT IFY YOUR WATERCRAFT. FAILURE TO PROVIDE REQUIRED DATA MAY RESULT IN DEN IAL OF TRANSFER OF OWNERSH IP, REGISTRAT ION OF THIS WATERCRAFT OR OTHER REQUESTED ACT ION

21 DAY TEMPORARY PERMIT DO NOT SIGN UNTIL COMPLETED

THIS WATERCRAFT MAY BE OPERATED WITH THIS TEMPORARY PERMIT FOR A PERIOD OF TWENTY-ONE (21) DAYS FROM THE DATE OF ISSUANCE FOR THE DATE PERMIT ISSUED DATE PERMIT EXPIRES PURPOSE OF OBTAINING MINNESOTA REGISTRATION. THIS PERMIT MAY NOT BE REPLACED OR UPDATED. DEALER OR AUTHORIZED AGENT SIGNATURE

WATERCRAFT TITLING

As a safeguard for boat owners, the Minnesota legislature created a law, which requires the t itling of certain watercraft. A title provides proof of ownership, which becomes very important when buying or selling a boat. It also protects businesses that make boat loans, and helps in the identification and recovery of stolen watercraft.

Effective January 1, 1991 Chapter 868 requires certain watercraft to be Titled.

Requirement. Unless specifically exempted, a watercraft used on the waters of the state must have a certificate of title if: 1) the watercraft is owned by a resident of this state and is kept in the state for more than 90 consecutive days; or 2) the watercraft is kept in the state for more than 90 consecutive days and has not been issued a certificate of title or

similar document from another jurisdiction.

Watercraft Exempt from Titling. A watercraft is not required to have a certificate of title if the watercraft is: 1) owned by a manufacturer or dealer and held for sale; 2) used by a manufacturer solely for testing; 3) from a jurisdiction other than this state, temporarily using the waters of this state; 4) owned by the United States, a state, this state or political subdivision; 5) a waterfowl boat used only during waterfowl hunting season; 6) a rice boat used only during wild rice harvesting season; 7) owned by a person, firm, or corporation operating a resort as defined in section 157.01, subdivision 1, or a

recreational camping area as defined in section 3 27.14, subdivision 8, except with respect to a previously tit led watercraft;

8) watercraft manufactured prior to August 1, 1979. (1979 or older); 9) a row-type fishing boat of single hull construction, with oar locks and an outboard motor capacity rating of less than 40

horsepower; 10) a canoe; 11) a kayak; 12) a ship's lifeboat; 13) a vessel of at least five net tons measured in Code of Federal Regulations, title 46. part 69, that is documented under

Code of Federal Regulations, title 46, subpart 67.01; (any documented vessel); 14) a seaplane; or 15) a rowing sheI I

Voluntary Titling. The owner of a device used or designed for navigation on water and used on the waters of this state may obtain a certificate of title for the device, even though it is not a watercraft as defined in section 86B.820, subdivision 14 in the same manner with the same effect as the owner of a watercraft required to be titled under Laws 1989, chapter 335. Once titled, the device is a titled watercraft as defined in section 86B. 820, subdivision 13, and is remains subject to Laws 1989, chapter 335, to the same extent as a watercraft to be titled.

A watercraft that is owned and licensed under section 866.401 before Janua ry 1, 1991 , is not required to have a cetificate of titled until the owner transfers part of an interest in the watercraft or renews the license.

Title Required for Transfer. A perso n may not sell or otherwise transfer a titled watercraft without delivering to the person acqui ring the watercraft a certificate of title with an assignment on it to show complete chain of ownership to the person acquiring the waterc raft. A person may not acquire a watercraft required to have a certificate of title witho ut obtaining a certificate of title for the watercraft in the person's name.