Lake Powell Resorts & Marinas Managed by Aramark BROKERAGE LISTING - BOAT INFORMATION Contact Information Name Address City State Zip Home Phone Work Phone Cell Phone Fax Email Vessel Information Name HIN Draft Make Length Displacement Model Beam Year Height Hull Type Fuel Capacity Hull Material Fresh Water Capacity Engine Specifications Make Single Twin Model Gas Diesel Year HP Drive Type Synchronizer Hours (Port) Hours (Stbd) Rebuilt? Partial Rebuild? New Engines? Canvas Bimini Full Enclosure Cockpit Storage Screens Window Full Enclosure Doors Accommodations Stateroom(s) Head(s) Shower(s) Sleeping Capacity # # Type # Queen Size Beds Double Beds Twin Beds # # # Galley Dinette Stove Make/Model Oven Make/Model Microwave Make/Model Refrigerator(s) Make/Model Ice Make Make/Model Coffee Make Make/Model Blender Make/Model Trash Compactor Make/Model Additional Info Electronics VHF Radio Make/Model GPS Make/Model Depth Sounder Make/Model Fish Finder Make/Model Radar Make/Model Intercom Make/Model Compass Make/Model Phone System Make/Model Television Make/Model VCR Make/Model Satellite Dish Make/Model Stereo System Make/Model Additional Info Electrical Systems Information Air Conditioning Make/Model BTU’s Interior Heating Make/Model BTU’s Generator Make/Model KW Inverter Make/Model KW Battery Charger Make/Model AMP’s Shore Power Make/Model AMP’s Water Heater Make/Model GAL’s Spotlight Make/Model Watts Windlass Make/Model Type Additional Info Water Quality/Safety Equipment Black Water Holding Tank Capacity Bilge Blower Grey Water Holding Tank Capacity Bilge Pump Overboard Discharge Capable Secured? High Water Alarm Deck Level Pump-out Capable Automatic Fire Suppression Type CO Detector Smoke Detector Fire Extinguishers Number Life Jackets Number Throwable PFD Type Additional Safety Equipment Additional Equipment or Accessories being sold with vessel Brokerage Transaction Type Standard Brokerage Customer Initials Multi Owner Share Customer Initials Will the Boat be leaving Glen Canyon National Recreation Area for sale? Marine Survey (If yes, please attach): Available for Review? Initials Available for Test Drive w/ CG Pilot? Paid By Seller? Initials Mechanical Check Approved? Paid By Seller? Initials Key at Marina: Key Provided for Broker Boat Location: Wahweap Bullfrog Halls Crossing Hite Slip Buoy Dry Storage Space # This Boat is offered for sale with moorage transfer. Customer Initials This Boat is NOT offered for sale with moorage transfer. Customer Initials ASKING PRICE: $ I have read and understand the above information and to the best of my knowledge the above information is correct: Customer Signature: ____________________________________________ Date: _________________ While the above information concerning the vessel provided below is believed to be correct, Aramark does not warrant the correctness or accuracy of any such information, and Aramark makes no representation or warranty, expressed, implied or statutory regarding the condition of the vessel or its suitability for its intended purpose. .