Application for Motorboat Registration - Vermont ?· Application for Motorboat Registration 120 State…

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<ul><li><p> Application for Motorboat Registration </p><p>State of Vermont DEPARTMENT OF MOTOR VEHICLES Agency of Transportation </p><p>120 State Street Montpelier, VT 05603-0001 </p><p>dmv.vermont.gov </p><p>1 </p><p> New (421) Transfer (431) Renew (475) Title Only </p><p>VT Registration # _______ </p><p>Sticker Expires _________ </p><p>Length of Boat </p><p>____ feet ____ inches Con</p><p>ditio</p><p>n </p><p> New Used Rebuilt </p><p>Engi</p><p>ne D</p><p>rive Inboard </p><p> Outboard Pod-Drive Sterndrive Other P</p><p>ropu</p><p>lsio</p><p>n Air Thrust Propeller Water Jet Other </p><p>Fuel</p><p> Diesel Electric Gas Other </p><p>State of Principle Operation </p><p>Previous Registration # </p><p>Make Model Year Color Hull ID Number (HIN) </p><p> Hull Material Vessel Type Primary Operation </p><p> Aluminum Fiberglass Plastic Rubber/Vinyl/Canvas </p><p> Steel Wood Other </p><p> Air Boat Auxiliary Sail Cabin Motorboat Houseboat </p><p> Inflatable Open Motorboat Pontoon </p><p> PWC Rowboat Other </p><p> Charter Fishing Comm Fishing Comm Passenger Comm Other </p><p> Dealer/Demo Pleasure Rent/Lease </p><p>1</p><p>2 Owner License No Owner Federal ID Number Owner Gender Co-Owner License No Co-Owner Federal ID Number Co-Owner Gender </p><p>Owner Name Co-Owner Name </p><p>Mailing Address (PO Box or Street) Mailing Address (PO Box or Street) </p><p>City State ZIP City State ZIP </p><p>Physical Address (Street) Physical Address (Street) </p><p>City State ZIP City State ZIP </p><p>Date Of Birth If Name Has Changed, List Previous Name Date Of Birth If Name Has Changed, List Previous Name </p><p>Phone Number &amp; Email Address: </p><p>3 Spouses Joint Tenants Tenants In Common Business Partners Transfer on Death (requires form T-07) </p><p>4 Lienholder </p><p>Name Date of loan VT license # (if individual) Date of birth (if individual) </p><p>Lienholder Address </p><p>5 Name of person or company boat acquired from </p><p> Address of person or company boat acquired from </p><p>Signature of person or company (agent) boat acquired from </p><p> Date purchased </p><p>6 I Certify That The VT Sales And Use Tax Has Been Collected From The Purchaser And Paid To The VT Dept. Of Taxes Vermont Tax Number VT Dealer number </p><p>7 If claiming tax credit or transferring registration Section #7 must be completed in full 10 DO NOT WRITE IN SHADED AREA Purchase Price $ </p><p>Purchaser Of Old Vessel Registration (37) </p><p>Tax Credit $ City State On (Date) Tax (39) </p><p>Net Taxable Cost $ </p><p>Year Make Plate Tax Exempt # Title (03) </p><p>Tax (6%) $ HIN Transfer (37) </p><p>8 Signature of Owner &amp; Co-Owner Date I certify that I am the owner of the vessel described above and same is properly equipped and in good mechanical condition. Statements and warrants herein are certified under penalty of 23 V.S.A. 202, 203 &amp; 3829 </p><p>Misc (37) </p><p>X Other: X Total Fees $ </p><p> Old #1 New # 1 New # 2 INDEX # Registration # Assigned </p><p> 225 </p><p> 227 </p><p> 231 </p><p> 232 </p><p> 233 </p><p> 453 </p><p> 454 </p><p> 455 </p><p> 465 </p><p> 452 </p><p> 490 C </p><p> 490 P </p><p> 2 Year </p><p>Registration Expires </p><p>/ </p><p> VD-037 15M 10/2017 MTC </p></li><li><p> Application for Motorboat Registration </p><p>State of Vermont DEPARTMENT OF MOTOR VEHICLES Agency of Transportation </p><p>120 State Street Montpelier, VT 05603-0001 </p><p>dmv.vermont.gov </p><p>1 </p><p> New (421) Transfer (431) Renew (475) Title Only </p><p>VT Registration # _______ </p><p>Sticker Expires _________ </p><p>Length of Boat </p><p>____ feet ____ inches Con</p><p>ditio</p><p>n </p><p> New Used Rebuilt </p><p>Engi</p><p>ne D</p><p>rive Inboard </p><p> Outboard Pod-Drive Sterndrive Other P</p><p>ropu</p><p>lsio</p><p>n Air Thrust Propeller Water Jet Other </p><p>Fuel</p><p> Diesel Electric Gas Other </p><p>State of Principle Operation </p><p>Previous Registration # </p><p>Make Model Year Color Hull ID Number (HIN) </p><p> Hull Material Vessel Type Primary Operation </p><p> Aluminum Fiberglass Plastic Rubber/Vinyl/Canvas </p><p> Steel Wood Other </p><p> Air Boat Auxiliary Sail Cabin Motorboat Houseboat </p><p> Inflatable Open Motorboat Pontoon </p><p> PWC Rowboat Other </p><p> Charter Fishing Comm Fishing Comm Passenger Comm Other </p><p> Dealer/Demo Pleasure Rent/Lease </p><p>1</p><p>2 Owner License No Owner Federal ID Number Owner Gender Co-Owner License No Co-Owner Federal ID Number Co-Owner Gender </p><p>Owner Name Co-Owner Name </p><p>Mailing Address (PO Box or Street) Mailing Address (PO Box or Street) </p><p>City State ZIP City State ZIP </p><p>Physical Address (Street) Physical Address (Street) </p><p>City State ZIP City State ZIP </p><p>Date Of Birth If Name Has Changed, List Previous Name Date Of Birth If Name Has Changed, List Previous Name </p><p>Phone Number &amp; Email Address: </p><p>3 Spouses Joint Tenants Tenants In Common Business Partners Transfer on Death (requires form T-07) </p><p>4 Lienholder </p><p>Name Date of loan VT license # (if individual) Date of birth (if individual) </p><p>Lienholder Address </p><p>5 Name of person or company boat acquired from </p><p> Address of person or company boat acquired from </p><p>Signature of person or company (agent) boat acquired from </p><p> Date purchased </p><p>6 I Certify That The VT Sales And Use Tax Has Been Collected From The Purchaser And Paid To The VT Dept. Of Taxes Vermont Tax Number VT Dealer number </p><p>7 If claiming tax credit or transferring registration Section #7 must be completed in full 10 DO NOT WRITE IN SHADED AREA Purchase Price $ </p><p>Purchaser Of Old Vessel Registration (37) </p><p>Tax Credit $ City State On (Date) Tax (39) </p><p>Net Taxable Cost $ </p><p>Year Make Plate Tax Exempt # Title (03) </p><p>Tax (6%) $ HIN Transfer (37) </p><p>8 Signature of Owner &amp; Co-Owner Date I certify that I am the owner of the vessel described above and same is properly equipped and in good mechanical condition. Statements and warrants herein are certified under penalty of 23 V.S.A. 202, 203 &amp; 3829 </p><p>Misc (37) </p><p>X Other: X Total Fees $ </p><p> Old #1 New # 1 New # 2 INDEX # Registration # Assigned </p><p> 225 </p><p> 227 </p><p> 231 </p><p> 232 </p><p> 233 </p><p> 453 </p><p> 454 </p><p> 455 </p><p> 465 </p><p> 452 </p><p> 490 C </p><p> 490 P </p><p> 2 Year </p><p>Registration Expires </p><p>/ </p><p> VD-037 15M 10/2017 MTC </p><p> /ColorImageDict &gt; /JPEG2000ColorACSImageDict &gt; /JPEG2000ColorImageDict &gt; /AntiAliasGrayImages false /CropGrayImages true /GrayImageMinResolution 300 /GrayImageMinResolutionPolicy /OK /DownsampleGrayImages true /GrayImageDownsampleType /Bicubic /GrayImageResolution 300 /GrayImageDepth -1 /GrayImageMinDownsampleDepth 2 /GrayImageDownsampleThreshold 1.50000 /EncodeGrayImages true /GrayImageFilter /DCTEncode /AutoFilterGrayImages true /GrayImageAutoFilterStrategy /JPEG /GrayACSImageDict &gt; /GrayImageDict &gt; /JPEG2000GrayACSImageDict &gt; /JPEG2000GrayImageDict &gt; /AntiAliasMonoImages false /CropMonoImages true /MonoImageMinResolution 1200 /MonoImageMinResolutionPolicy /OK /DownsampleMonoImages true /MonoImageDownsampleType /Bicubic /MonoImageResolution 1200 /MonoImageDepth -1 /MonoImageDownsampleThreshold 1.50000 /EncodeMonoImages true /MonoImageFilter /CCITTFaxEncode /MonoImageDict &gt; /AllowPSXObjects false /CheckCompliance [ /None ] /PDFX1aCheck false /PDFX3Check false /PDFXCompliantPDFOnly false /PDFXNoTrimBoxError true /PDFXTrimBoxToMediaBoxOffset [ 0.00000 0.00000 0.00000 0.00000 ] /PDFXSetBleedBoxToMediaBox true /PDFXBleedBoxToTrimBoxOffset [ 0.00000 0.00000 0.00000 0.00000 ] /PDFXOutputIntentProfile () /PDFXOutputConditionIdentifier () /PDFXOutputCondition () /PDFXRegistryName () /PDFXTrapped /False</p><p> /CreateJDFFile false /Description &gt; /Namespace [ (Adobe) (Common) (1.0) ] /OtherNamespaces [ &gt; /FormElements false /GenerateStructure false /IncludeBookmarks false /IncludeHyperlinks false /IncludeInteractive false /IncludeLayers false /IncludeProfiles false /MultimediaHandling /UseObjectSettings /Namespace [ (Adobe) (CreativeSuite) (2.0) ] /PDFXOutputIntentProfileSelector /DocumentCMYK /PreserveEditing true /UntaggedCMYKHandling /LeaveUntagged /UntaggedRGBHandling /UseDocumentProfile /UseDocumentBleed false &gt;&gt; ]&gt;&gt; setdistillerparams&gt; setpagedevice</p><p>Text1: 0: 1: </p><p>Check Box2: 0: 0: 1: 2: </p><p>1: 0: 1: 2: </p><p>2: 0: 1: 2: </p><p>3: 0: </p><p>Text4: 0: 0: 1: </p><p>2: 0: 1: </p><p>1: 0: 1: </p><p>If Name Has Changed List Previous Name: 0: 1: </p><p>Text3: 0: 1: </p><p>Mailing Address PO Box or Street: 0: 1: </p><p>City: 0: 1: </p><p>State: 0: 1: </p><p>ZIP: 0: 1: </p><p>Date Of Birth: 0: 1: </p><p>Physical Address Street: 0: 1: </p><p>City_2: 0: 1: </p><p>State_3: 0: 1: </p><p>ZIP_3: 0: 1: </p><p>Text6: 0: 1: </p><p>New 421: VT Registration: Inboard: State of Principle Operation: Transfer 431: Sticker Expires: New: Outboard: Air Thrust: Diesel: Renew 475: Used: PodDrive: Propeller: Electric: Title Only: Rebuilt: Sterndrive: Water Jet: Gas: Other_3: Other_2: Other_4: Previous Registration: Make: Model: Year: Color: Hull ID Number HIN: Aluminum: Steel: Charter Fishing: DealerDemo: Fiberglass: Wood: Comm Fishing: Pleasure: Plastic: Other: Comm Passenger: RentLease: RubberVinylCanvas: Comm Other: Text5: Spouses: Joint Tenants: Tenants In Common: Business Partners: Transfer on Death requires form T07: Lienholder Name: Date of loan: VT license if individual: Date of birth if individual: Lienholder Address: Name of person or company boat acquired from: Address of person or company boat acquired from: Signature of person or company agent boat acquired from: Date purchased: Vermont Tax Number: VT Dealer number: fill_46: Purchaser Of Old Vessel: fill_49: City State On Date: fill_52: Year_2: Make_2: Plate: Tax Exempt: fill_59: HIN: </p></li></ul>