Form BRT-012 "Application for Change of Motor" - Virginia

This version of the form is not currently in use and is provided for reference only.
Download this version of Form BRT-012 for the current year.

What Is Form BRT-012?

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

Form Details:

  • Released on March 22, 2019;
  • The latest edition provided by the Virginia Department of Wildlife Resources;
  • 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 BRT-012 by clicking the link below or browse more documents and templates provided by the Virginia Department of Wildlife Resources.

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Download Form BRT-012 "Application for Change of Motor" - Virginia

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BRT-012
(03/22/2019)
APPLICATION FOR
CHANGE OF MOTOR
Please complete entire application or go online to www.dgif.virginia.gov/GetBoating
To change motors of boat, please submit the following:
A. This application for Change of Motor completed and signed by the titled owner(s) whose name(s) appear on the face of the
Certificate of Title to a Vessel.
B. The original Certificate of Title to a Vessel.
C. Fee of $7.00 – Please make check or money order payable to: “Treasurer of Virginia”.
1.
NAME OF TITLED OWNER(S):
DGIF Customer ID:
DGIF Customer ID:
Legal Name:
Legal Name:
First
MI
Last
First
MI
Last
Last 4 of SSN:
Last 4 of DL:
Last 4 of SSN:
Last 4 of DL:
Date of Birth (mm/dd/yyyy):
Date of Birth (mm/dd/yyyy):
Address:
Address:
City
State
Zip
City
State
Zip
Daytime Telephone Number
Daytime Telephone Number
VA Registration Number: VA _______________________
2.
BOAT DESCRIPTION:
/
Hull Identification Number
Make
Model Year
Length ft / inches
3.
Yes
No
IS MOTOR LISTED ON THE TITLE TO BE REMOVED FROM THE TITLE?
4.
DESCRIPTION OF MOTOR(S) TO BE RECORDED ON CERTIFICATE OF TITLE (for motors in excess of 25 HP only):
New Motor Make
Serial Number
Horsepower
New Motor Make
Serial Number
Horsepower
5.
PROPULSION (check one):
___ Air Thrust
___ Sail
___ Manual
___ Water Jet
___ Propeller
___ Other (specify): ____________________________________
6.
FUEL (check one):
___ Gasoline
___ Diesel
___ Electric
___ Other
Signature of all titled owners: X
X
Please mail the completed application with the appropriate fees and supporting documentation to:
Department of Game and Inland Fisheries – Client Services
PO Box 9930
Henrico, VA 23228-9930
BRT-012
(03/22/2019)
APPLICATION FOR
CHANGE OF MOTOR
Please complete entire application or go online to www.dgif.virginia.gov/GetBoating
To change motors of boat, please submit the following:
A. This application for Change of Motor completed and signed by the titled owner(s) whose name(s) appear on the face of the
Certificate of Title to a Vessel.
B. The original Certificate of Title to a Vessel.
C. Fee of $7.00 – Please make check or money order payable to: “Treasurer of Virginia”.
1.
NAME OF TITLED OWNER(S):
DGIF Customer ID:
DGIF Customer ID:
Legal Name:
Legal Name:
First
MI
Last
First
MI
Last
Last 4 of SSN:
Last 4 of DL:
Last 4 of SSN:
Last 4 of DL:
Date of Birth (mm/dd/yyyy):
Date of Birth (mm/dd/yyyy):
Address:
Address:
City
State
Zip
City
State
Zip
Daytime Telephone Number
Daytime Telephone Number
VA Registration Number: VA _______________________
2.
BOAT DESCRIPTION:
/
Hull Identification Number
Make
Model Year
Length ft / inches
3.
Yes
No
IS MOTOR LISTED ON THE TITLE TO BE REMOVED FROM THE TITLE?
4.
DESCRIPTION OF MOTOR(S) TO BE RECORDED ON CERTIFICATE OF TITLE (for motors in excess of 25 HP only):
New Motor Make
Serial Number
Horsepower
New Motor Make
Serial Number
Horsepower
5.
PROPULSION (check one):
___ Air Thrust
___ Sail
___ Manual
___ Water Jet
___ Propeller
___ Other (specify): ____________________________________
6.
FUEL (check one):
___ Gasoline
___ Diesel
___ Electric
___ Other
Signature of all titled owners: X
X
Please mail the completed application with the appropriate fees and supporting documentation to:
Department of Game and Inland Fisheries – Client Services
PO Box 9930
Henrico, VA 23228-9930