Form UVESSEL-1-1.1 "Notice of Vessel Lien" - Connecticut

What Is Form UVESSEL-1-1.1?

This is a legal form that was released by the Connecticut Secretary of the State - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2013;
  • The latest edition provided by the Connecticut Secretary of the State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form UVESSEL-1-1.1 by clicking the link below or browse more documents and templates provided by the Connecticut Secretary of the State.

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Download Form UVESSEL-1-1.1 "Notice of Vessel Lien" - Connecticut

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SECRETARY OF THE STATE OF CONNECTICUT
MAILING ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, P.O. BOX 150470, HARTFORD, CT 06115-0470
DELIVERY ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, 30 TRINITY STREET, HARTFORD, CT 06106
860-509-6002
www.concord-sots.ct.gov
PHONE:
WEBSITE:
NOTICE OF VESSEL LIEN
C.G.S. § 49-55a
USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 81/2 X 11 SHEETS IF NECESSARY.
FILING FEE: $50
:
FILING PARTY
(CONFIRMATION WILL BE SENT TO THIS ADDRESS)
MAKE CHECKS PAYABLE TO "SECRETARY
CUSTOMER ID:
OF THE STATE"
NAME:
ADDRESS:
CITY:
STATE:
ZIP:
EMAIL:
TO ALL PERSONS WHOM IT MAY CONCERN, A LIEN IS CLAIMED BY ME ON THE BELOW DESCRIBED VESSEL:
1. OWNER'S NAME IF INDIVIDUAL
SURNAME
FIRST PERSONAL NAME
MIDDLE
SUFFIX
OR
ORGANIZATION
ORGANIZATION NAME
MAILING ADDRESS: (STREET OR P.O. BOX)
ADDRESS:
CITY:
STATE:
ZIP:
COUNTRY:
2. CLAIMANT'S EXACT LEGAL NAME IF INDIVIDUAL
SURNAME
FIRST PERSONAL NAME
MIDDLE
SUFFIX
OR
ORGANIZATION
ORGANIZATION NAME
MAILING ADDRESS: (STREET OR P.O. BOX)
ADDRESS:
CITY:
STATE:
ZIP:
COUNTRY:
3. NAME OF VESSEL
4. REGISTRATION NUMBER
5. DESSCRIPTION OF VESSEL AND NAME OF MANUFACTURER
FORM UVESSEL-1-1.1
PAGE 1 OF 2
Rev. 7/2013
SECRETARY OF THE STATE OF CONNECTICUT
MAILING ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, P.O. BOX 150470, HARTFORD, CT 06115-0470
DELIVERY ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, 30 TRINITY STREET, HARTFORD, CT 06106
860-509-6002
www.concord-sots.ct.gov
PHONE:
WEBSITE:
NOTICE OF VESSEL LIEN
C.G.S. § 49-55a
USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 81/2 X 11 SHEETS IF NECESSARY.
FILING FEE: $50
:
FILING PARTY
(CONFIRMATION WILL BE SENT TO THIS ADDRESS)
MAKE CHECKS PAYABLE TO "SECRETARY
CUSTOMER ID:
OF THE STATE"
NAME:
ADDRESS:
CITY:
STATE:
ZIP:
EMAIL:
TO ALL PERSONS WHOM IT MAY CONCERN, A LIEN IS CLAIMED BY ME ON THE BELOW DESCRIBED VESSEL:
1. OWNER'S NAME IF INDIVIDUAL
SURNAME
FIRST PERSONAL NAME
MIDDLE
SUFFIX
OR
ORGANIZATION
ORGANIZATION NAME
MAILING ADDRESS: (STREET OR P.O. BOX)
ADDRESS:
CITY:
STATE:
ZIP:
COUNTRY:
2. CLAIMANT'S EXACT LEGAL NAME IF INDIVIDUAL
SURNAME
FIRST PERSONAL NAME
MIDDLE
SUFFIX
OR
ORGANIZATION
ORGANIZATION NAME
MAILING ADDRESS: (STREET OR P.O. BOX)
ADDRESS:
CITY:
STATE:
ZIP:
COUNTRY:
3. NAME OF VESSEL
4. REGISTRATION NUMBER
5. DESSCRIPTION OF VESSEL AND NAME OF MANUFACTURER
FORM UVESSEL-1-1.1
PAGE 1 OF 2
Rev. 7/2013
6. HULL NUMBER
7. REGISTRATION NUMBER
8. TYPE OF PROPULSION
9. LENGTH
10. LOCATION OF VESSEL
11. AMOUNT OF CLAIM
12. BASIS OF CLAIM WITH DATES
(If applicable -- at least 60 days next succeeding filing of such notice)
INTENDED SALE
DATE OF SALE
PLACE OF SALE
CLAIMANT'S SIGNATURE
DATE
FORM UVESSEL-1-1.1
PAGE 2 OF 2
Rev. 7/2013
Page of 2