NEW OWNER APPLICATION $2.00 Application Fee
V:SFMF Admin/app/species rev 4/29/20
APPLICATION TO TRANSFER A NEW JERSEY LANDING PERMIT TO A NEW OWNER
The last issued New Jersey Landing Permit must be surrendered before your new permit is issued. If you cannot locate your last
issued New Jersey Landing Permit, please call 609-748-2020.
Is the NJ permit(s) being transferred currently revoked, suspended or have violations pending? Yes No
Black Sea Bass Permit #_________________________ Gear Type_______________________
Summer Flounder Permit# ______________________ Gear Type_______________________
Tautog Permit#________________________________ Gear Type_______________________
Shad Permit # _____________________________ (ONLY TRANSFERRABLE BETWEEN IMMEDIATE FAMILY MEMBERS)
Lobster Permit #____________________________
*Do you hold a Federal Limited Access American Lobster Permit? YES NO
*Will vessel be harvesting lobster in State waters? Yes No
*If yes, who is the individual possessing the New Jersey Commercial Lobster License? _____________________________________
CURRENT OWNER/COMPANY
OWNER/COMPANY________________________________________ CID#__________________________ GEAR ID#________________
CONTACT PARTY _____________________________________ PHONE #_______________ DATE OF BIRTH _____________________
ADDRESS____________________________________________ CITY, STATE & ZIP___________________________________________
EIN and/or SS#______________________________________________________________________
CURRENT VESSEL NAME: _______________________________________ NMFS VESSEL PERMIT#: ___________________
VESSEL DOC #/REGISTRATION # ___________________________ VESSEL LENGTH ___________ VESSEL HORSEPOWER
___________
NEW OWNER/COMPANY - Did you purchase current owner’s vessel? Yes No If yes, include Bill of Sale.
OWNER/COMPANY ___________________________________________ CID#_____________________ GEAR ID#________________
CONTACT PARTY ______________________________________ PHONE #__________________ DATE OF BIRTH ________________
ADDRESS_____________________________________________ CITY, STATE & ZIP__________________________________________
EIN and/or SS# ___________________________________________________ E-MAIL ADDRESS_______________________________
NEW OWNER VESSEL NAME: _________________________________ NMFS VESSEL PERMIT#: __________ (Include NMFS Permit)
VESSEL DOC #/REGISTRATION # ______________________ (Include Vessel Documentation)
VESSEL LENGTH __________ VESSEL HORSEPOWER _________ (Include proof of HP) HOME PORT _______________________
I certify under penalty of law that the information provided in this document is true, accurate and complete. I am aware that there are
significant civil penalties for knowingly submitting false, inaccurate or incomplete information and that I am committing a crime of the fourth
degree if I make a written false statement which I do not believe to be true.
SECTION II: SIGNATURE ________________________________________________ DATE________________
(TRANSFERER) Owner/Agent
SIGNATURE _________________________________________________ DATE________________
(TRANSFEREE) Owner/Agent
Approval _________________________________________________________________ Date_____________________________
NOTARY (if not signed in front of NJ Fish and Wildlife staff):
__________________________________________________
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