D
EPARTMENT OF GAME AND INLAND FISHERIES
B
OAT REGISTRATION AND TITLING SECTION
7870
VILLA PARK DR, STE 400, P. O. BOX 9930
HENRICO, VA 23228
www.dgif.virginia.gov
804-767-7766
NOTIFICATION OF CHANGE IN ADDRESS AND/OR COUNTY OR CITY IN VIRGINIA WHERE A
NUMBERED VESSEL IS NORMALLY GARAGED, DOCKED OR PARKED
COMMISSIONER OF THE REVENUE USE ONLY
COMMISSIONER OF THE REVENUE: Use this form/format to report a change in address and/or county or city inirginia
where a numbered vessel is normally garaged, docked, or parked.
BOAT DESCRIPTION:
Registration/Title Number: VA Hull Identification Number (HIN):
IF MORE THAN ONE BOAT, USE THE SPACE BELOW TO REPORT REGISTRATION NUMBER AND HIN:
Owner Name: _______________________________________ Co-O 
OSSN RLOSSNRL
New County or City here the Boat is Normally Garaged, Docked, or Parked:
Effective Date of Change: __________________________________________________________________
County or City here the Boat was PREVIOUSLY Garaged, Docked, or Parked:
_______________________
N Address:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
CommOfRevChange
l 20
This Change Reported By:
mmii    i i: _______________________________________________________
Name of individual reporting the change:
Telephone number: _________________________________________________________________________________
Email: ____________________________________________________________________________________________
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ignarofoiionrofvn
Commiionrofvnioaiiodforooargdgif.virginia.gov
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