Form BRT-11 "Application for Duplicate Certificate of Title or Registration" - Virginia

What Is Form BRT-11?

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-11 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-11 "Application for Duplicate Certificate of Title or Registration" - Virginia

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BRT-011
(03/22/2019)
APPLICATION FOR DUPLICATE
CERTIFICATE OF TITLE OR REGISTRATION
Please complete entire application or go online to www.dgif.virginia.gov/GetBoating
Check reason for submitting this form and submit appropriate non-refundable fee:
a.
Duplicate Certificate of Number (Registration) and Decals
FEE $ 14.00
b.
Duplicate Certificate of Title
FEE $ 7.00
o
If lien is recorded on title, proof that lien has been satisfied must accompany this form.
o
If a lien release is not available and the lienholder has merged, changed names or address, contact the State Corporation Commission
(SCC) to request information about the lender’s new name or location so you may obtain a lien release.
o
If a lien release is not available and the lienholder has gone out of business, you will need a letter from the SCC stating that the lender is
no longer in business.
VA Registration Number: VA _______________________
1.
BOAT DESCRIPTION:
/
Length ft / inches
Hull Identification Number
Make
Model Year
2.
APPLICANT(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
4.
Explain Loss or Destruction of Original Document (Mutilated, altered or illegible certificates must be returned with this form).
5.
I declare to the best of my knowledge and belief that the original registration/decals/title has been lost, destroyed, stolen, mutilated, or is illegible
and is not retrievable.
Signature of all owners:
X
X
OR signature of lienholder if applying for a duplicate Certificate of Title: (Signature, position or title, and bank name required)
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-011
(03/22/2019)
APPLICATION FOR DUPLICATE
CERTIFICATE OF TITLE OR REGISTRATION
Please complete entire application or go online to www.dgif.virginia.gov/GetBoating
Check reason for submitting this form and submit appropriate non-refundable fee:
a.
Duplicate Certificate of Number (Registration) and Decals
FEE $ 14.00
b.
Duplicate Certificate of Title
FEE $ 7.00
o
If lien is recorded on title, proof that lien has been satisfied must accompany this form.
o
If a lien release is not available and the lienholder has merged, changed names or address, contact the State Corporation Commission
(SCC) to request information about the lender’s new name or location so you may obtain a lien release.
o
If a lien release is not available and the lienholder has gone out of business, you will need a letter from the SCC stating that the lender is
no longer in business.
VA Registration Number: VA _______________________
1.
BOAT DESCRIPTION:
/
Length ft / inches
Hull Identification Number
Make
Model Year
2.
APPLICANT(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
4.
Explain Loss or Destruction of Original Document (Mutilated, altered or illegible certificates must be returned with this form).
5.
I declare to the best of my knowledge and belief that the original registration/decals/title has been lost, destroyed, stolen, mutilated, or is illegible
and is not retrievable.
Signature of all owners:
X
X
OR signature of lienholder if applying for a duplicate Certificate of Title: (Signature, position or title, and bank name required)
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