LB014 05 FOR VALIDATION AND -- OFFICE USE ONLY -- DEPARTMENT OF NEW TITLE NUMBER m, 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 DATE OF BIRTH
NEW OWNER(S / I I I PURCHASER(S) STREET ADDRESS I CITY I STATE I ZIPCODE PHONE NUMBER (DURING THE DAY) MUST COMPLETE ( ) - • LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH I I I STREET ADDRESS I CITY I STATE I ZIPCODE PHONE NUMBER (DURING THE DAY) ( ) - * ADDITIONAL OWNERS WILL NEED TO COMPLETE ANOTHER APPLICATION & ATTACH * COUNTY MOST USED LENGTH MAKE OF BOAT MODEL HULL ID. NUMBER (WILL BE 12 CHARACTERS FOR 1972 ON) YEAR
FT IN
t;: SELLERS 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 MUST COMPLETE SELLER(S) TRANSFEROR(S) SIGNATURES(S) (ALL SELLERS MUST SIGN) DATE OF SALE SECTION 4 & TITLE/ TRANSFER FEE SIGN X PLEASE PAY • RENEWAL/ REGISTRATION X (IF DUE) STREET ADDRESS EXOTIC SPECIES SURCHARGE (DUE WITH REGISTRATION/ RENEWAL ONLY) CITY VIEWED TAX PAID (DEPUTY REGISTRAR ONLY) 0 YES NO DEALER NAME (IF SELLER IS A DEALER) STATE ZIP CODE SALES TAX DUE DEALER PHONE NUMBER c:::> STATE/ DEPUTY Fl LI NG FEE TOTAL AMOUNT DUE SECTION 5 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 ALL APPLICANTS BELIEF, AND THAT THE WATERCRAFT IS SUBJECT TO THE LIEN AND ENCUMBRANCE LISTED AND NONE OTHER MUST SIGN 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 VALIDATI ON AND - OFFICE USE ONLY - DEPARTMENT OF NEW TITLE NUMBER m, 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) I REGISTERED OR MSO SECTION 1 LAST FI RST FULL Ml ODLE NAME DRIVERS LICENSE NUMBER DATE OF Bl RTH NEW OWNER(S I I I I STREET ADDRESS PHONE NUMBER (DURING THE DAY) PURCHASER(S) I CITY I STATE I ZIP CODE MUST COMPLETE ( ) - • LAST FIRST FULL Ml DOLE NAM E DRIVERS LICENSE NUMBER DATE OF Bl RTH I I I STREET ADDRESS PHONE NUMBER (DURING THE DAY ) I CITY I STATE I ZIP CODE ( ) - * ADDITIONAL OWNERS WILL NEED TO COMPLETE ANOTHER APPLICATI ON & ATTACH.* COUNTY MOST USED LENGTH MAKE OF BOAT MODEL HULL I D NUMBER (WILL BE 12 CHARACTERS FOR 1972 ON) YEAR FT IN I- ~ C, "'§': cc C, z ~ :::, ~ z z m 0 ;:! !;;; 0 w C, ,: cc z - 5 0 "'z ffi ..., ;;; cc 0 0 ~ m ..., !;;; "' "'u: ~ cc m cc ..., :c ..., 5 ~ ffi ;;; !;;; cc 0 ~ w ~ ~ cc m II g 0 !;;; 0 :c >- cc "'u: < cri w - m 0 ~ ~ i w t;: 0 Q. :::! "' :::, ::l ffi t;; ::; z 0 0 cc m < cc cc 0 cc 0 :::, "' :::, :::, 0 0 m C, z ..., "'i!' 0 :5 0 cc ~ ..., z !;;; ,. ,. g "' w cc ffi z C, :c ::l cc w 0 ~ ;:5 z 0 :5 cc I- Q. ..., w cc < 0 ~ m ~ 0 z tjj :::! ,,; ,,; 0 cc ::i Q. :c :::, ~ 0 ..., 0 I- 0 z d w r.," 1i!< ;:! cc ffi 0 :a w t;; g ffi ..., I- ffi z "';:; 0 z 0 m ;;; :::, ~ cc z < z :::! :c :::! :::, >- :c z :c < 0 i!5 cc ~ 0 < ~ ~ "'w ~ :c ~ w w :c 0 0 "'0 0 0 ..., ~ !i! :5 ;;; C, ~ < cc < 5 ;::i 21: Q. cc 21: < 0 5 :c ;;; cc Q. < cc 0 z 0 0 0 0 ;: < u: 0.. > a: 0 Q. i < :::! 0 i "' "' o.i "' "' SECTION 2 IS THIS WATERCRAFT SUBJECT TO SECURITY AGREEMENT(S)? w 2e: cc LO AN 0 YES NO IF YES, COMPLETE INFORMATION BELOW. z INFORMATION cc w ffi t::i Fl RST SECURED PARTY (PRINT NAME) Tl ME & DATE OF LOAN t;; cc MUST COMPLETE 0 w 0 I w cc 0 0 2e: c z AM PM cc g cc cc 0 ::J ..., a: • I I g m 0 g :::! ffi 0 w t; ffi I- 0 z :c :c ADDRESS (NUMBER & STREET, RFD, BOX NUMBER & CITY) STATE ZIP CODE m :::, 0 m 0 "' ~ ~ ;;; 0 Q. ;;; z 0 ~ i5 w 0 I i :><.I. IIUN J J\.:),:)l..,mv,o;;;,.I i;,1 _,o;;;LLCl'I. SELLERS 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. MUST COMPLETE SELLER(S) TRANSFEROR(S) SIGNATURES(S) (ALL SELLERS MUST SIGN) DATE OF SALE SECTION 4 & TITLE / TRANSFER FEE SIGN X PLEASE PAY • RENEWAL I REGISTRATION X (IF DUE) STREET ADDRESS EXOTIC SPECIES SURCHARGE (DUE WITH REG ISTRATION /RENEWAL ONLY) CITY VIEWED TAX PAID (DEPUTY REGISTRAR ONLY) 0 YES NO DEALER NAME (IF SELLER IS A DEALER) STATE ZIP CODE SALES TAX DUE DEALER PHONE NUMBER ~ STATE I DEPUTY FILING FEE TOTAL AMOUNT DUE SECTION 5 I / WE LI STED ABOVE AM/ ARE THE NEW OW NER(S) / PURCHASER(S) OF THE WATERCRAFT DESCRIBED ABOVE AND DO HEREBY MAKE APPLI CATION FOR T HE CERTI FICATE OF TITLE AND CERTIFY , UNDER P ENALTY OF PERJURY, THAT THE ST ATEMENTS MADE HEREIN ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE, INFORMATION, AND ALL APFU CANTS BELIEF, AND THAT THE WATERCRAFT IS SUBJECT TO THE LIEN AND ENCUMBRANCE LISTED AND NONE OTHER MUST SIGN X X • SIGNATURE DATE SIGNATURE DATE MUST BE SIGNED PERSONALLY BY THE OWNER(St IF FIRM ORCORPORA 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 LB014-05 FOR VALIDATI ON AND - OFFICE USE ONLY - DEPARTMENT OF NEW TITLE NUMBER m, 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) I REGISTERED OR MSO SECTION 1 LAST FI RST FULL Ml ODLE NAME DRIVERS LICENSE NUMBER DATE OF Bl RTH NEW OWNER(S I I I I STREET ADDRESS PHONE NUMBER (DURING THE DAY) PURCHASER(S) I CITY I STATE I ZIP CODE MUST COMPLETE ( ) - • LAST FIRST FULL Ml DOLE NAME DRIVERS LI CENSE NUMBER DATE OF Bl RTH I I I STREET ADDRESS PHONE NUMBER (DURING THE DAY ) I CITY I STATE I ZIP CODE ( ) - * ADDITIONAL OWNERS WILL NEED TO COMPLETE AN OTHER APPLICATI ON & ATTACH.* COUNTY MOST USED LENGTH MAKE OF BOAT MODEL HULL I D NUMBER (WILL BE 12 CHARACTERS FOR 1972 ON) YEAR FT IN I- ~ C, "'§': cc C, z ~ :::, ~ z z m 0 ;:! !;;; 0 w C, ,: cc z - 5 0 "'z ffi ..., ;;; cc 0 0 ~ m ..., !;;; "' "'u: ~ cc m cc ..., :c ..., 5 ~ ffi ;;; !;;; cc 0 ~ w ~ ~ cc m II g 0 !;;; 0 :c >- cc "'u: < cri w - m 0 ~ ~ i w t;: 0 Q. :::! "' :::, ::l ffi t;; ::; z 0 0 cc m < cc cc 0 cc 0 :::, "' :::, :::, 0 0 m C, z ..., "'i!' 0 :5 0 cc ~ ..., z !;;; ,. ,. g "' w cc ffi z C, :c ::l cc w 0 ~ ;:5 z 0 :5 cc I- Q. ..., w cc < 0 ~ m ~ 0 z tjj :::! ,,; ,,; 0 cc ::i Q. :c :::, ~ 0 ..., 0 I- 0 z d w r.," 1i!< ;:! cc ffi 0 :a w t;; g ffi ..., I- ffi z "';:; 0 z 0 m ;;; :::, ~ cc z < z :::! :c :::! :::, >- :c z :c < 0 i!5 cc ~ 0 < ~ ~ "'w ~ :c ~ w w :c 0 0 "'0 0 0 ..., ~ !i! :5 ;;; C, ~ < cc < 5 ;::i 21: Q. cc 21: < 0 5 :c ;;; cc Q. < cc 0 z 0 0 0 0 ;: < u: 0.. > a: 0 Q. i < :::! 0 i "' "' o.i "' "' SECTION 2 IS THIS WATERCRAFT SUBJECT TO SECURITY AGREEMENT(S)? w 2e: cc LO AN 0 YES NO IF YES, COMPLETE INFORMATION BELOW. z INFORMATION cc w ffi t::i Fl RST SECURED PARTY (PRINT NAME) Tl ME & DATE OF LOAN t;; cc MUST COMPLETE 0 w 0 I w cc 0 0 2e: c z AM PM cc g cc cc 0 ::J ..., a: • I I g m 0 g :::! ffi 0 w t; ffi I- 0 z :c :c ADDRESS (NUMBER & STREET, RFD, BOX NUMBER & CITY) STATE ZI P CODE m :::, 0 m 0 "' ~ ~ ;;; 0 Q. ;;; z 0 ~ i5 w 0 I i SECTION 3 ASSIGNMENT BY SELLER SELLERS 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) NAM ED ABOVE MUST COMPLETE SELLER(S) TRANSFEROR(S) SIGNATURES(S) (ALL SELLERS MUST SIGN) DATE OF SALE SECTION 4 & TI TLE I TRANSFER FEE SIGN X PLEASE PAY • RENEWAL/ REGISTRATION X (IFWE) STREET ADDRESS EXOTIC SPECIES SURCHARGE (DUE WITH REG ISTRATION / RENEWAL ONLY) CITY VI EWED T AX PAID (DEPUTY REGISTRAR ONLY) 0 YES NO DEALER NAME (IF SELLER IS A DEALER) STATE ZIP CODE SALES TAX DUE DEALER PHONE NUMBER q STAT E I DEPUTY FILING FEE TOTAL AMOUNT DUE SECTION 5 I / WE LI STED ABOVE AM I ARE THE NEW OWNER(S) I PURCHASER(S) OF THE WATERCRAFT DESCRIBED ABOVE AND DO HEREBY MAKE APPLI CATION FOR THE CERTIFICATE OF TITLE AND CERTIFY , 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 ALL APFU CANTS BELIEF, AND THAT THE WATERCRAFT IS SUBJECT TO THE LIEN AND ENCUMBRANCE LISTED AN D NONE OTHER MUST SIGN X X • SIGNATURE DATE SIGNATURE DATE MUST BE SIGNED PERSONALLY BY THE OWNER(S) IF FIRM ORCORPORATION 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 DEN IAL OF TRANSFER OF OWNERSH IP, REGISTRAT ION OF THIS WATERCRAFT OR OTHER REQUESTED ACTION DO NOT SIGN UNTIL COMPLETED SELLER COPY LB014-05 FOR VALIDATI ON AND - OFFICE USE ONLY - DEPARTMENT OF NEW TITLE NUMBER m, 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) I REGISTERED OR MSO SECTION 1 LAST FI RST FULL Ml ODLE NAME DRIVERS LICENSE NUMBER DATE OF Bl RTH NEW OWNER(S I I I I STREET ADDRESS PHONE NUMBER (DURING THE DAY) PURCHASER(S) I CITY I STATE I ZIP CODE MUST COMPLETE ( ) - • LAST FIRST FULL Ml DOLE NAME DRIVERS LI CENSE NUMBER DATE OF Bl RTH I I I STREET ADDRESS PHONE NUMBER (DURING THE DAY ) I CITY I STATE I ZIP CODE ( ) - * ADDITIONAL OWNERS WILL NEED TO COMPLETE AN OTHER APPLICATI ON & ATTACH.* COUNTY MOST USED LENGTH MAKE OF BOAT MODEL HULL I D NUMBER (WILL BE 12 CHARACTERS FOR 1972 ON) YEAR FT IN I- ~ C, "'§': cc C, z ~ :::, ~ z z m 0 ;:! !;;; 0 w C, ,: cc z - 5 0 "'z ffi ..., ;;; cc 0 0 ~ m ..., !;;; "' "'u: ~ cc m cc ..., :c ..., 5 ~ ffi ;;; !;;; cc 0 ~ w ~ ~ cc m II g 0 !;;; 0 :c >- cc "'u: < cri w - m 0 ~ ~ i w t;: 0 Q. :::! "' :::, ::l ffi t;; ::; z 0 0 cc m < cc cc 0 cc 0 :::, "' :::, :::, 0 0 m C, z ..., "'i!' 0 :5 0 cc ~ ..., z !;;; ,. ,. g "' w cc ffi z C, :c ::l cc w 0 ~ ;:5 z 0 :5 cc I- Q. ..., w cc < 0 ~ m ~ 0 z tjj :::! ,,; ,,; 0 cc ::i Q. :c :::, ~ 0 ..., 0 I- 0 z d w r.," 1i!< ;:! cc ffi 0 :a w t;; g ffi ..., I- ffi z "';:; 0 z 0 m ;;; :::, ~ cc z < z :::! :c :::! :::, >- :c z :c < 0 i!5 cc ~ 0 < ~ ~ "'w ~ :c ~ w w :c 0 0 "'0 0 0 ..., ~ !i! :5 ;;; C, ~ < cc < 5 ;::i 21: Q. cc 21: < 0 5 :c ;;; cc Q. < cc 0 z 0 0 0 0 ;: < u: 0.. > a: 0 Q. i < :::! 0 i "' "' o.i "' "' SECTION 2 IS THIS WATERCRAFT SUBJECT TO SECURITY AGREEMENT(S)? w 2e: cc LO AN 0 YES NO IF YES, COMPLETE INFORMATION BELOW. z INFORMATION cc w ffi t::i Fl RST SECURED PARTY (PRINT NAME) Tl ME & DATE OF LOAN t;; cc MUST COMPLETE 0 w 0 I w cc 0 0 2e: c z AM PM cc g cc cc 0 ::J ..., a: • I I g m 0 g :::! ffi 0 w t; ffi I- 0 z :c :c ADDRESS (NUMBER & STREET, RFD, BOX NUMBER & CITY) STATE ZI P CODE m :::, 0 m 0 "' ~ ~ ;;; 0 Q. ;;; z 0 ~ i5 w 0 I i SECTION 3 ASSIGNMENT BY SELLER SELLERS 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) NAM ED ABOVE MUST COMPLETE SELLER(S) TRANSFEROR(S) SIGNATURES(S) (ALL SELLERS MUST SIGN) DATE OF SALE SECTION 4 & TI TLE I TRANSFER FEE SIGN X PLEASE PAY • RENEWAL/ REGISTRATION X (IFWE) STREET ADDRESS EXOTIC SPECIES SURCHARGE (DUE WITH REG ISTRATION / RENEWAL ONLY) CITY VI EWED T AX PAID (DEPUTY REGISTRAR ONLY) 0 YES NO DEALER NAME (IF SELLER IS A DEALER) STATE ZIP CODE SALES TAX DUE DEALER PHONE NUMBER q STAT E I DEPUTY FILING FEE TOTAL AMOUNT DUE SECTION 5 I / WE LI STED ABOVE AM I ARE THE NEW OWNER(S) I PURCHASER(S) OF THE WATERCRAFT DESCRIBED ABOVE AND DO HEREBY MAKE APPLI CATION FOR THE CERTIFICATE OF TITLE AND CERTIFY , 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 ALL APFU CANTS BELIEF, AND THAT THE WATERCRAFT IS SUBJECT TO THE LIEN AND ENCUMBRANCE LISTED AN D NONE OTHER MUST SIGN X X • SIGNATURE DATE SIGNATURE DATE MUST BE SIGNED PERSONALLY BY THE OWNER(S) IF FIRM ORCORPORATION 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 DEN IAL OF TRANSFER OF OWNERSH IP, REGISTRAT ION OF THIS WATERCRAFT OR OTHER REQUESTED ACTION DO NOT SIGN UNTIL COMPLETED LENDER COPY LB014-05 FOR VALIDATION AND OFFICE USE ONLY DEPARTMENT OF NEW TITLE NUMBER m, 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 I PURCHASE DATE STATE WHERE WATERCRAFT INDICATED) I (MONTH) (YEAR) I REGISTERED OR MSO SECTION 1 LAST FIRST FULL Ml DOLE NAME DRIVERS LICENSE NUMBER DATE OF Bl RTH NEW OWNER(S I I I I STREET ADDRESS PHONE NUMBER (DURING THE DAY) PURCHASER(S) I CITY I STATE I ZIP COCE MUST COMPLETE ( ) - • LAST FIRST FULL Ml DOLE NAME DRIVERS LICENSE NUMBER DATE OF Bl RTH I I I STREET ADDRESS PHONE NUMBER (DURING THE DAY ) I CITY I STATE I ZIP COCE ( ) - * ADDITIONAL OWNERS WILL NEED TO COMPLETE ANOTHER APPLICATI ON & ATTACH.* COUNTY MOST USED LENGTH MAKE OF BOAT MODEL HULL I D NUMBER (WILL BE 12 CHARACTERS FOR 1972 ON) YEAR FT IN I- ~ Cl "'§': cc Cl ~ :::, :z: :z: CD 0~ :z: !;;; 0 w Cl ,: cc :z: - 5 ~ 0 "':z: ffi ..., ;;; cc 0 ~ CD ..., u: 0 CD !;;; "' "' ~ cc cc ..., :c ..., 5 ~ ffi ;;; cc 0 ~ w ~ ~ cc CD g 0 !;;; 0 :c >- cc "'u: cri w - CD II ~ ~ i w t;: 0 0.. "' :::, ::l ffi t;; ~ ~ :z: 0 cc cc 0 "" 0 0 CD cc cc 0 "' 0 :::, "' cc :::, :::, ..., 0 !;;; CD g "'Cl "":z: ..., w cc ffi i!' "':z: :5 0 :c ::l ~ cc 0 ~ ; ;:5 :z: 0 :5 cc I- 0.. ..., Cl w cc I- CD 0 "':z: tjj ,,; ::i 0 cc t;; ::i :c :::, m ~ ~ ~ ~ 0 CD "':z: d w r.," 1i!"" ~ cc ffi 0 :a w g ffi 0.. ..., I- "" ffi :z: 0 ;;; :::, ~ cc :z: z "' :c :::, >- :c :z: :c 0 i!5 cc ~ 0 < ~ ~ "'w ~ :c ~ w w :c""' 0 "'0 "'0 "'0 0 ..., ~ !i! :5 ;;; Cl ~ < cc 0.. cc if < 0 5 :c ;;; cc 0.. cc 0 :z: 0 0 0 0 ;: u: 0.. > a: 0 0.. i < "" 0 if-~+-~+-~+-~-+-+--t-+--t-+--l-+-l"' f-+-1--+-+"" -o.i "" "' "' "' SECTION 2 IS THIS WATERCRAFT SUBJECT TO SECURITY AGREEMENT(S)? w 2e: cc LOAN 0 YES NO IF YES, COMPLETE INFORMATION BELOW. :z: INFORMATION 0 cc w ffi Fl RST SECURED PARTY (PRINT NAME) Tl ME & DATE OF LOAN t;; t::i 0 cc MUST COMPLETE w 0 I w 0 cc 0 2e: c 0 :z: AM PM I I cc g cc cc ::J ..., a: • g CD 0 g ffi 0 w t; ffi I- 0 "'z :c :c ADDRESS (NUMBER & STREET, RFD, BOX NUMBER & CITY) I STATE ZIP CODE CD :::, 0 CD 0 "' ~ ~ ;;; 0 0.. ;;; :z: 0 i ~ i5 w 0 SECTION 3 ASSIGNMENT BY SELLER SELLERS I / WE THE OWNERS OF THIS WATERCRAFT CERTIFY THE WATERCRAFT IS FREE OF ALL SECURITY INTEREST, WARRANT TITLE, AN D ASSIGN THE TAXES PAID TO THE PERSON IS) NAMED ABOVE MUST COMPLETE SELLER(S) TRANSFEROR(S) SIGNATURES(S) (ALL SELLERS MUST SIGN ) DATE OF SALE SECTION 4 & TI TLE I TRANSFER FEE SIGN X PLEASE PAY • ------RENEWAL/ REGISTRATION x (IF DUE) STREET ADDRESS EXOTIC SPECIES SURCHARGE (DUE WITH REG ISTRATION / RENEWAL ONLY) CITY VIEWED T AX PAID (DEPUTY REGISTRAR ONLY) 0 YES ONO DEALER NAME (IF SELLER IS A CEALER) STATE ZIP CODE SALES TAX DUE DEALER PHONE NUMBER STATE I DEPUTY FILING FEE TOTAL AMOUNT DUE SECTION 5 I / WE LI STED ABOVE AM I ARE THE NEW OWNER(S) I PURCHASER(S) OF THE WATERCRAFT CE SCRIBED ABOVE AND DO HEREBY MAKE APPLI CATION FOR THE CERTIFICATE OF TITLE AND CERTIFY , UNCE R PENALTY O F P ERJURY, THAT THE STATEMENTS M ACE HEREIN ARE TRUE AND CORRE CT T O THE BEST OF M Y KNOWLEDGE, INFORMATION, AND ALL APFU CANTS BELIEF, AN D THAT THE WATERCR AFT IS SUBJECT TO THE LIEN AND ENCUMBRANCE LISTED AN D NONE OTHER MUST SIGN X ""s ""1G""N"'A""T""U"'R"'E______X • DATE "'s ""1G""NAT"""'""U""RE,,..------DATE MUST BE SIGNED PERSONALLY BY THE OWNER($) 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 DEN IAL OF TRANSFER OF OWNERSH IP, REGISTRAT ION OF THIS WATERCRAFT OR OTHER REQUESTED ACTION 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 titling 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 titled 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 sheII 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 acquiring the watercraft a certificate of title with an assignment on it to show complete chain of ownership to the person acquiring the watercraft. A person may not acquire a watercraft required to have a certificate of title without obtaining a certificate of title for the watercraft in the person's name.