STATE OF NEW HAMPSHIRE DEPARTMENT OF SAFETY
DIVISION OF MOTOR VEHICLES
BOAT REGISTRATION
DSMV 157A (REV. 06/98)
BOW NUMBER AGENT NUMBERPLEASE PRINT OR TYPE CLEARLY. OWNER MUST SIGN THIS CERTIFICATE.
DO NOT MAIL CASH. MAKE CHECKS PAYABLE TO "STATE OF NEW
HAMPSHIRE-MV."
PLEASE VERIFY
ALL PRINTED
DATA AND
MAKE CHANGES
HERE. (NOT
IN BODY OF
CERTIFICATE
BOW NUMBER USE PRINCIPAL STATE VALIDATION NUMBER INLAND TIDAL EXPIRATION DATE
MODEL YEAR MAKE FUEL HORSEPOWER STYLE PROPULSION ENGINE
IN OUT SINGLE TWIN
LENGTH (FT-INCH) COLOR HULL IDENTIFICATION NUMBER HULL NO. OF PASS TOILET SINK SHOWER
RSA 270-D:2-c REQUIRES YOU TO COMPLETE THE REVERSE OF M.V. COPY FOR PROCESSING
NAME AND MAILING ADDRESS MOTOR VEHICLE COPY
OWNER'S DATE OF BIRTH "FEID NO. (COMPANIES ONLY)"
1
2
MOTOR VEHICLE /AGENT USE ONLY
SEE BACK OF FORM
BOAT FEE TRANSFER CREDIT BOAT FEE DUE
LEGAL OR PERMANENT ADDRESS
REGISTRATION FEE TRANSFER CREDIT REGISTRATION FEE DUE
OWNER'S SIGNATURE TRANSACTION DATE TOTAL DUE DMV TOTAL DUE AGENT
THIS APPLICATION IS SIGNED AND ANY ADDITIONAL INFORMATION IS OFFERED UNDER PENALTY OF UNSWORN FALSIFICATION PURSUANT TO RSA 641:3.
REVERSE SIDE
RSA 270-D:2-c REQUIRES THAT YOU CERTIFY KNOWLEDGE OF BOATING SAFETY LAWS, INCLUDING THE FOLLOWING:
#1 SAFE PASSAGE - 6 mph within 150 feet of other vessels (RSA 270-D:2,VI)
o
#2 BOATING WHILE INTOXICATED (RSA 270:47 THROUGH RSA 270:58-b o
#3 HEADWAY SPEED - 6-mph (RSA 270-D:1, VI AND RSA 270-D2, VI) o
#4 SAFETY EQUIPMENT - PDF for all occupants; fire extinguisher for all power boats; horn or whistle (SEE SAF-C 400) o
#5 NAVIGATIONAL LIGHT REQUIREMENTS (SEE SAF-C 400)
o
#6 THE REGISTRANT OR RENTER IS RESPONSIBLE FOR ANYONE WHO OPERATES THE VESSEL (RSA 270-D:2-c, II (b)).
o
YOU ARE ALSO REQUIRED TO ACKNOWLEDGE THAT THE DIRECTOR OF SAFETY SERVICES MAY REQUIRE THE
REGISTRANT OR THE OPERATOR TO ATTEND A SAFE BOATING COURSE. o
If this application is for a boat that has temporary or permanent sleeping facilities (houseboat) and it will be moored at one location in New
Hampshire, please state where it will be moored. Otherwise notification of places of mooring of houseboats to New Hampshire Water Supply
& Pollution Control Commission is required in accordance with provision of RSA 270-A.
LOCATION
I certify that the boat described herein is equipped so as to preclude the discharge of sewage or wastewater to the waters of the state in
compliance with RSA 487:1 - 487:14.
OWNER'S SIGNATURE
