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

Form UVESSEL-1-1.1 is a Connecticut Secretary of the State form also known as the "Notice Of Vessel Lien". The latest edition of the form was released in July 1, 2013 and is available for digital filing.

Download a PDF version of the Form UVESSEL-1-1.1 down below or find it on Connecticut Secretary of the State Forms website.

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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
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