Fillable Form 1: Application for Transfer (431) Inboard Other (Vermont)

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Form 1: Application for Transfer (431) Inboard Other (Vermont)

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Application for
Motorboat Registration
State of Vermont
DEPARTMENT OF MOTOR VEHICLES
Agency of Transportation
120 State Street
Montpelier, VT 05603-
0001
dmv.vermont.gov
1
New (421)
Transfer (431)
Renew (475)
Title Only
VT Registration # _______
Sticker Expires _________
Length of Boat
____ feet ____ inches
Condition
New
Used
Rebuilt
Engine Drive
Inboard
Outboard
Pod-Drive
Sterndrive
Other
Propulsion
Air Thrust
Propeller
Water Jet
Other
Fuel
Diesel
Electric
Gas
Other
State of Principle Operation
Previous Registration #
Model
Year
Color
Hull ID Number (HIN)
Hull Material
Vessel Type
Primary Operation
Aluminum
Fiberglass
Plastic
Rubber/Vinyl/Canvas
Steel
Wood
Other
Air Boat
Auxiliary Sail
Cabin Motorboat
Houseboat
Inflatable
Open Motorboat
Pontoon
PWC
Rowboat
Other
Charter Fishing
Comm Fishing
Comm Passenger
Comm Other
Dealer/Demo
Pleasure
Rent/Lease
1
2
Owner License No
Owner Federal ID Number
Owner Gender
Co-Owner License No
Co-Owner Federal ID Number
Co-Owner Gender
Owner Name
Co-Owner
Name
Mailing Address (PO Box or Street)
Mailing Address (PO Box or Street)
City State ZIP City State ZIP
Physical Address (Street)
Physical Address (Street)
City
State
ZIP
City
State
ZIP
Date Of Birth
If Name Has Changed, List Previous Name
Date Of Birth
If Name Has Changed, List Previous Name
Phone Number & Email Address:
3
Spouses
Joint Tenants
Tenants In Common
Business Partners
Transfer on Death
(requires form T-07)
4
Lienholder
Name
Date of loan
VT license # (if individual)
Date of birth (if individual)
Lienholder
Address
5
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
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
7
If claiming tax credit or transferring registration Section #7 must be completed in full
10
DO NOT WRITE IN SHADED AREA
Purchase
Price
$
Purchaser Of Old Vessel
Registration (37)
Tax Credit $
City State On (Date)
Tax (39)
Net Taxable
Cost
$
Year
Make
Plate
Tax Exempt #
Title
(03)
Tax (6%) $
HIN
Transfer (37)
8
Signature of Owner & 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 & §3829
Misc
(37)
X
Other:
X
Total Fees
$
Old #1
New # 1
New # 2
Index #
Reg # Assigned
Rater #
225
227
231
232
233
453
454
455
465
452
490 C
490 P
2 Year
Registration Expires
/
VD-037 15M 11/2020 MTC
Application for
Motorboat Registration
State of Vermont
DEPARTMENT OF MOTOR VEHICLES
Agency of Transportation
120 State Street
Montpelier, VT 05603-
0001
dmv.vermont.gov
1
New (421)
Transfer (431)
Renew (475)
Title Only
VT Registration # _______
Sticker Expires _________
Length of Boat
____ feet ____ inches
Condition
New
Used
Rebuilt
Engine Drive
Inboard
Outboard
Pod-Drive
Sterndrive
Other
Propulsion
Air Thrust
Propeller
Water Jet
Other
Fuel
Diesel
Electric
Gas
Other
State of Principle Operation
Previous Registration #
Model
Year
Color
Hull ID Number (HIN)
Hull Material
Vessel Type
Primary Operation
Aluminum
Fiberglass
Plastic
Rubber/Vinyl/Canvas
Steel
Wood
Other
Air Boat
Auxiliary Sail
Cabin Motorboat
Houseboat
Inflatable
Open Motorboat
Pontoon
PWC
Rowboat
Other
Charter Fishing
Comm Fishing
Comm Passenger
Comm Other
Dealer/Demo
Pleasure
Rent/Lease
1
2
Owner License No
Owner Federal ID Number
Owner Gender
Co-Owner License No
Co-Owner Federal ID Number
Co-Owner Gender
Owner Name
Co-Owner
Name
Mailing Address (PO Box or Street)
Mailing Address (PO Box or Street)
City State ZIP City State ZIP
Physical Address (Street)
Physical Address (Street)
City
State
ZIP
City
State
ZIP
Date Of Birth
If Name Has Changed, List Previous Name
Date Of Birth
If Name Has Changed, List Previous Name
Phone Number & Email Address:
3
Spouses
Joint Tenants
Tenants In Common
Business Partners
Transfer on Death
(requires form T-07)
4
Lienholder
Name
Date of loan
VT license # (if individual)
Date of birth (if individual)
Lienholder
Address
5
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
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
7
If claiming tax credit or transferring registration Section #7 must be completed in full
10
DO NOT WRITE IN SHADED AREA
Purchase
Price
$
Purchaser Of Old Vessel
Registration (37)
Tax Credit $
City State On (Date)
Tax (39)
Net Taxable
Cost
$
Year
Make
Plate
Tax Exempt #
Title
(03)
Tax (6%) $
HIN
Transfer (37)
8
Signature of Owner & 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 & §3829
Misc
(37)
X
Other:
X
Total Fees
$
Old #1
New # 1
New # 2
Index #
Reg # Assigned
Rater #
225
227
231
232
233
453
454
455
465
452
490 C
490 P
2 Year
Registration Expires
/
VD-037 15M 11/2020 MTC
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Form 1: Application for Transfer (431) Inboard Other (Vermont)

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Completed 14 June 2021

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