Robert L. Quinn
Commissioner of Safety
State of New Hampshire
DEPARTMENT OF SAFETY
DIVISION OF MOTOR VEHICLES
23 HAZEN DRIVE, CONCORD, NH 03305
Telephone: (603)227-4000 TDD Access Relay NH 7-1-1
Elizabeth A. Bielecki
Director of Motor Vehicles
BOAT REGISTRATION APPLICATION
RDMV 612 (Rev. 5/21)
BOW NUMBER
PLEASE PRINT OR TYPE CLEARLY. OWNER MUST
SIGN THIS CERTIFICATE. DO NOT MAIL CASH.
MAKE CHECKS PAYABLE TO
“STATE OF NEW HAMPSHIRE – MV.”
NEW
RENEWAL
PREVIOUS BOW NUMBER
TRANSFER
USE
PRINCIPAL STATE
INLAND
ENGINE
SINGLE
TWIN
MODEL YEAR
MAKE
FUEL
HORSEPOWER
STYLE
PROPULSION
SINK/TOILET
SHOWER/TOILET
LENGTH (FT-INCH)
COLOR
HULL ID NUMBER
HULL MATERIAL
SINK/SHOWER/TOILET
OWNER NAME(S)
OWNER’S DATE OF BIRTH
“FEID”# / DL# / ID#
1.
1.
1.
2.
2.
2.
3.
3.
3.
MAILING ADDRESS
LEGAL OR PERMANENT ADDRESS
1.
1.
STREET / PO BOX ADDRESS
STREET ADDRESS
CITY
STATE
ZIP
CITY
STATE
ZIP
2.
2.
STREET / PO BOX ADDRESS
STREET ADDRESS
CITY
STATE
ZIP
CITY
STATE
ZIP
3.
3.
STREET / PO BOX ADDRESS
STREET ADDRESS
CITY
STATE
ZIP
CITY
STATE
ZIP
OWNER SIGNATURE(S)
DATE:
1.
2.
3.