Form LB014-05 "Watercraft Title & Registration Application" - Minnesota

What Is Form LB014-05?

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

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Download Form LB014-05 "Watercraft Title & Registration Application" - Minnesota

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m,
LB014 05
NEW TITLE NUMBER
DEPARTMENT OF
NATURAL RESOURCES
STATE OF MINNESOTA
DEPARTMENT OF NATURAL RESOURCES
DIVISION OF FISH
& WILDLIFE/ LICENSE CENTER
500 LAFAYETTE ROAD
SAINT PAUL, MINNESOTA 55155-4026
WATERCRAFT TITLE
&
REGISTRATION APPLICATION
REGISTRATION NUMBER (MUST BE
I
EXPIRES LAST DAY OF
I
PURCHASE DATE
STATE WHERE WATERCRAFT
INDICATED)
(MONTH) (YEAR)
REGISTERED OR MSO
I
SECTION 1
LAST
FIRST
FULL MIDDLE NAME
DRIVERS LICENSE NUMBER
NEW OWNER(S /
PURCHASER(S)
STREET ADDRESS
I
CITY
I
I
STATE
I
ZIPCODE
MUST COMPLETE
LAST
FIRST
FULL MIDDLE NAME
DRIVERS LICENSE NUMBER
STREET ADDRESS
I
CITY
*
ADDITIONAL OWNERS WILL NEED TO COMPLETE ANOTHER APPLICATION & ATTACH
*
COUNTY MOST USED
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SECTION 3
SELLERS
MUST COMPLETE
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SIGN
SECTION 5
ALL APPLICANTS
MUST SIGN
LENGTH
MAKE OF BOAT
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NO
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FIRST SECURED PARTY (PRINT NAME)
TIME & DATE OF LOAN
AM
PM
ADDRESS (NUMBER & STREET, RFD, BOX NUMBER & CITY)
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FOR VALIDATION AND
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DATE OF BIRTH
I
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(
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ASSIGNMENT BY SELLER
I /WE THE OWNERS OF THIS WATERCRAFT CERTIFY THE WATERCRAFT IS FREE OF ALL SECURITY INTEREST, WARRANT TITLE, AND ASSIGN THE TAXES PAID TO THE
PERSON(S) NAMED ABOVE
SELLER(S) TRANSFEROR(S) SIGNATURES(S) (ALL SELLERS MUST SIGN)
DATE OF SALE
SECTION 4
X
PLEASE PAY
X
STREET ADDRESS
CITY
DEALER NAME (IF SELLER IS A DEALER)
STATE
ZIP CODE
DEALER PHONE NUMBER
c:::>
TITLE/ TRANSFER FEE
RENEWAL/ REGISTRATION
(IF DUE)
EXOTIC SPECIES SURCHARGE (DUE
WITH REGISTRATION/ RENEWAL ONLY)
VIEWED TAX PAID (DEPUTY REGISTRAR ONLY)
0
YES
NO

SALES TAX DUE
STATE/ DEPUTY Fl LI NG FEE
TOTAL AMOUNT DUE
I/ WE LISTED ABOVE AM/ ARE THE NEW OWNER(S) / PURCHASER(S) OF THE WATERCRAFT DESCRIBED ABOVE AND DO HEREBY MAKE APPLICATION FOR THE CERTIFICATE OF
TITLE AND CERTIFY, UNDER PENALTY OF PERJURY, THAT THE STATEMENTS MADE HEREIN ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE, INFORMATION, AND
BELIEF, AND THAT THE WATERCRAFT IS SUBJECT TO THE LIEN AND ENCUMBRANCE LISTED AND NONE OTHER
X
X
SIGNATURE
DATE
SIGNATURE
DATE
MUST BE SIGNED PERSONALLY BY THE OWNER(S). IF FIRM OR CORPORATION BY AN AUTHORIZED AGENT
ALL DATA COLLECTED ON A WATERCRAFT APPLICATION ARE USED TO IDENTIFY YOUR WATERCRAFT FAILURE TO PROVIDE REQUIRED DATA MAY RESULT IN DENIAL
OF TRANSFER OF OWNERSHIP, REGISTRATION OF THIS WATERCRAFT OR OTHER REQUESTED ACTION
DO NOT SIGN UNTIL COMPLETED
DEPARTMENT COPY
-
-
- -
--
m,
LB014 05
NEW TITLE NUMBER
DEPARTMENT OF
NATURAL RESOURCES
STATE OF MINNESOTA
DEPARTMENT OF NATURAL RESOURCES
DIVISION OF FISH
& WILDLIFE/ LICENSE CENTER
500 LAFAYETTE ROAD
SAINT PAUL, MINNESOTA 55155-4026
WATERCRAFT TITLE
&
REGISTRATION APPLICATION
REGISTRATION NUMBER (MUST BE
I
EXPIRES LAST DAY OF
I
PURCHASE DATE
STATE WHERE WATERCRAFT
INDICATED)
(MONTH) (YEAR)
REGISTERED OR MSO
I
SECTION 1
LAST
FIRST
FULL MIDDLE NAME
DRIVERS LICENSE NUMBER
NEW OWNER(S /
PURCHASER(S)
STREET ADDRESS
I
CITY
I
I
STATE
I
ZIPCODE
MUST COMPLETE
LAST
FIRST
FULL MIDDLE NAME
DRIVERS LICENSE NUMBER
STREET ADDRESS
I
CITY
*
ADDITIONAL OWNERS WILL NEED TO COMPLETE ANOTHER APPLICATION & ATTACH
*
COUNTY MOST USED
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SECTION 2
LOAN
INFORMATION
MUST COMPLETE
SECTION 3
SELLERS
MUST COMPLETE
&
SIGN
SECTION 5
ALL APPLICANTS
MUST SIGN
LENGTH
MAKE OF BOAT
FT
IN
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
YES
NO

IF YES, COMPLETE INFORMATION BELOW.
FIRST SECURED PARTY (PRINT NAME)
TIME & DATE OF LOAN
AM
PM
ADDRESS (NUMBER & STREET, RFD, BOX NUMBER & CITY)
I
STATE
I
ZIPCODE
FOR VALIDATION AND
OFFICE USE ONLY
DATE OF BIRTH
I
I
PHONE NUMBER (DURING THE DAY)
(
)
-
DATE OF BIRTH
I
I
PHONE NUMBER (DURING THE DAY)
(
)
-
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ASSIGNMENT BY SELLER
I /WE THE OWNERS OF THIS WATERCRAFT CERTIFY THE WATERCRAFT IS FREE OF ALL SECURITY INTEREST, WARRANT TITLE, AND ASSIGN THE TAXES PAID TO THE
PERSON(S) NAMED ABOVE
SELLER(S) TRANSFEROR(S) SIGNATURES(S) (ALL SELLERS MUST SIGN)
DATE OF SALE
SECTION 4
X
PLEASE PAY
X
STREET ADDRESS
CITY
DEALER NAME (IF SELLER IS A DEALER)
STATE
ZIP CODE
DEALER PHONE NUMBER
c:::>
TITLE/ TRANSFER FEE
RENEWAL/ REGISTRATION
(IF DUE)
EXOTIC SPECIES SURCHARGE (DUE
WITH REGISTRATION/ RENEWAL ONLY)
VIEWED TAX PAID (DEPUTY REGISTRAR ONLY)
0
YES
NO

SALES TAX DUE
STATE/ DEPUTY Fl LI NG FEE
TOTAL AMOUNT DUE
I/ WE LISTED ABOVE AM/ ARE THE NEW OWNER(S) / PURCHASER(S) OF THE WATERCRAFT DESCRIBED ABOVE AND DO HEREBY MAKE APPLICATION FOR THE CERTIFICATE OF
TITLE AND CERTIFY, UNDER PENALTY OF PERJURY, THAT THE STATEMENTS MADE HEREIN ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE, INFORMATION, AND
BELIEF, AND THAT THE WATERCRAFT IS SUBJECT TO THE LIEN AND ENCUMBRANCE LISTED AND NONE OTHER
X
X
SIGNATURE
DATE
SIGNATURE
DATE
MUST BE SIGNED PERSONALLY BY THE OWNER(S). IF FIRM OR CORPORATION BY AN AUTHORIZED AGENT
ALL DATA COLLECTED ON A WATERCRAFT APPLICATION ARE USED TO IDENTIFY YOUR WATERCRAFT FAILURE TO PROVIDE REQUIRED DATA MAY RESULT IN DENIAL
OF TRANSFER OF OWNERSHIP, REGISTRATION OF THIS WATERCRAFT OR OTHER REQUESTED ACTION
DO NOT SIGN UNTIL COMPLETED
DEPARTMENT COPY
LB014
-
05
-
FOR
VALIDATI
ON AND
-
m,
OFFICE
USE ONLY
NEW TITLE NUMBER
DEPARTMENT OF
NATURAL RESOURCES
STATE OF MINNESOTA
DEPARTMENT OF NATURAL RESOURCES
DIVISION OF FISH
&
WILDLIFE/ LICENSE CENTER
500 LAFAYETTE ROAD
SAINT PAUL, MINNESOTA 55155-4026
WATERCRAFT TITLE & REGISTRATION APPLICATION
REGISTRATION NUMBER (MUST BE
STATE WHERE WATERCRAFT
I
EXPIRES
LAST DAY
OF
I
PURCHASE
DATE
INDICATED)
SECTION 1
NEW
OW NER(S I
PURCHASER(S)
MUST COMPLETE
i
SECTION
2
LO
AN
INFORMATION
MUST
COMPLETE
:><.I.
IIUN
J
SELLERS
MUST
COMPLETE
&
SIGN
SECTION
5
ALL
APFU
CANTS
MUST SIGN
(MONTH
)
(YEAR)
REGISTERED OR
MSO
I
LAST
FI RST
FULL
Ml
ODLE
NAME
DRIVERS
LICENSE
NUMBER
DATE
OF
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I
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I
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I
STATE
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/WE THE OWNERS OF THIS WATERCR AFT CERTIFY
THE
WATERCRAFT
IS
FREE OF ALL SECURITY
INTEREST,
WARRANT
TITLE,
AND
ASSIGN THE
TAXES
PAID TO
THE
PERSON
IS)
NAMED ABOVE.
SELLER(S) TRANSFEROR(S)
SIGNATURES(S) (ALL
SELLERS
MUST
SIGN
)
DATE OF
SALE
X
X
STREET
ADDRESS
CITY
DEALER
NAME
(IF
SELLER IS A DEALER)
STATE
ZIP
CODE
DEALER PHONE NUMBER
SECTION 4
PLEASE PAY
~
TITLE
/
TRANSFER FEE
RENEWAL I REGISTRATION
(IF DUE)
EXOTIC
SPECIES
SURCHARGE
(DUE
WITH
REGISTRATION
/RENEWAL ONLY)
VIEWED TAX PAID
(DEPUTY
REGISTRAR ONLY)
0
YES
NO

SALES TAX
DUE
STATE
I
DEPUTY
FILING
FEE
TOTAL AMOUNT DUE
I
/
W
E
LI
STED
ABOVE AM/ ARE
THE
NEW OW
NER(S)
/
PURCHASER(S)
OF
THE
WATERCRAFT
DESCRIBED
ABOVE
AND
DO
HEREBY
MAKE
APPLI
CATION FOR
T
HE CER
TI
FICATE OF
T ITLE
AND
CERTIFY
,
UNDER P ENALTY
OF
PERJURY
,
THAT
THE
ST
ATEMENTS
MADE
HEREIN ARE
TRUE A ND
CORRECT
TO
THE
BEST
OF
MY
KN
OWLEDGE,
INFORMATION,
AND
BELIEF,
AND TH
AT
THE WATERCRAFT IS SUBJECT TO
THE
LIEN AND ENCUMBR ANCE LISTED AND
NONE OTHER
X
X
SIGNATURE
DATE
SIGNATURE
DATE
MUST BE SIGNED
PERSONALL
Y BY THE OWNER(St
IF
FIRM
OR
CORPORA T!ON BY
AN
AUTHORIZED AGENT
THE
ABOVE NA
MED PERSON HAS PAID
VALID ONLY WITH
TEMPORARY
LICENSE STAMP
LICENSE FEE
AND
THE
APPLICAT ION
IS
DEPUTY REGISTRAR STAMP
BEING PROCESSED.
THIS
RECEIPT
EXPIRES
21 DAYS
FROM
DATE
OF
ISSUE.
NOTICE:
THE
COMMISSIONER
MAY
NOT
ISSUE Cf\
RENE'N
A
'iVATERCRAFT
LICENSE
TOAN
OVVNER OF
A
WATERCRAFT
SUBJECT TO
TITLE
UNLESS
THE OV\NER
PURCHASER COPY
HAS
BEEN
ISSUED
Cf\ HAS APPLIED FCf\ A
CERT
IFIC ATE
OF
TITLE
FCf\
THE
WATERCRAFT
THE
VALIDATED
COPY
OF YOUR APP LICATION
FCf\
TITLE
'i,I-IEN
TITLED
ONLY
MUST
BE PRESENTED
TO
THE
DEPUTY
REGISTRAR
OF
THE
LICENSE
CENTER
WHEN
WATERCRAFT
IS REGISTERED
Cf\
RENE'NED
m,
LB014
-
05
NEW TITLE NUMBER
DEPARTMENT OF
NATURAL RESOURCES
STATE OF MINNESOTA
DEPARTMENT OF NATURAL RESOURCES
DIVISION OF FISH
&
WILDLIFE/ LICENSE CENTER
500 LAFAYETTE ROAD
SAINT PAUL, MINNESOTA 55155-4026
WATERCRAFT TITLE & REGISTRATION APPLICATION
REGISTRATION NUMBER (MUST BE
I
EXPIRES LAST DAY
OF
I
PURCHASE
DATE
STATE
WHERE
WATERCRAFT
INDICATED)
(MONTH
)
(YEAR
)
REGISTERED
OR
MSO
I
LAST
FI RST
FULL
Ml
ODLE NAME
DRIVERS LICENSE NUMBER
SECTION 1
I
NEW OW
NER(S
I
STREET
ADDRESS
PURCHASER(S)
I
CITY
I
STATE
I
ZIP CODE
MUST COMPLETE
LAST
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FREE OF ALL
SECURITY
INTEREST
,
WARRANT
TITLE,
AND
ASSI
GN
THE TAXES
PAID
TO
THE
PERSON
IS) NAM
ED ABOVE
SELLER(S)
TRANSFEROR(S)
SIGNATURES(S)
(ALL
SELLERS MUST SIGN)
DATE
OF
SALE
SECTION
4
X
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PAY
X
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NAME
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CODE
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NUMBER
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CATI
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ITLE
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UNDER
PENALTY
O
F
P
ERJURY
,
THAT
THE
STATEMENTS
MADE
HEREIN
ARE
TRUE
AN
D CORRE CT
T
O THE
BEST
OF M
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KNOWLEDGE,
INFORMATI
ON,
AND
BELIEF,
AND
THAT THE
WATERCRAFT IS
SUBJECT
TO THE LIEN AND ENCUMBRANCE LISTED
AN
D NONE OTHER
X
X
SIGNATURE
DATE
SIGNATURE
DATE
MUST
BE
SIGNED
PERSONALL
Y
BY THE OWNER(S)
IF FIRM
OR
CORPORATION
BY AN
AUTHORIZED
AGENT
ALL DATA COLLECTED
ON
A WATERCRAFT APPLICAT
ION
ARE
USED
TO
IDENT IFY YOUR
WATERCRAFT.
FAILURE
TO
PROVIDE REQUIRED DATA
MAY
RESULT IN
DEN
IAL
OF
TRANSFER
OF
OWNERSH
IP,
REGISTRA
T
ION OF
THI
S
WATERCRAFT
OR
OTHER REQUESTED ACT
ION
DO NOT SIGN UNTIL
COMPLETED
SELLER COPY
m,
LB014
-
05
NEW TITLE NUMBER
DEPARTMENT OF
NATURAL RESOURCES
STATE OF MINNESOTA
DEPARTMENT OF NATURAL RESOURCES
DIVISION OF FISH
&
WILDLIFE/ LICENSE CENTER
500 LAFAYETTE ROAD
SAINT PAUL, MINNESOTA 55155-4026
WATERCRAFT TITLE & REGISTRATION APPLICATION
REGISTRATION NUMBER (MUST BE
I
EXPIRES LAST DAY
OF
I
PURCHASE
DATE
STATE
WHERE
WATERCRAFT
INDICATED)
(MONTH
)
(YEAR
)
REGISTERED
OR
MSO
I
LAST
FI RST
FULL
Ml
ODLE NAME
DRIVERS LICENSE NUMBER
SECTION 1
I
NEW OW
NER(S
I
STREET
ADDRESS
PURCHASER(S)
I
CITY
I
STATE
I
ZIP CODE
MUST COMPLETE
LAST
FIRST
FULL Ml
DOLE NAME
DRIVERS LICENSE NUMBER
STREET ADDRESS
I
CITY
* ADDITIONAL
OWNERS
W
ILL
NEED
TO
COMPLETE
AN OTHER
APPLICATI
ON
&
ATTACH.*
COUNTY
MOST
USED
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2
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INFORMATION
MUST
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SELLERS
MUST
COMPLETE
&
SIGN
SECTION 5
ALL
APFU CANTS
MUST
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LENGTH
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IN
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I
/
WE THE
OWNERS OF
THIS
WATERCRAFT
CERTIFY
THE
WATERCRAFT
IS
FREE OF ALL
SECURITY
INTEREST
,
WARRANT
TITLE,
AND
ASSI
GN
THE TAXES
PAID
TO
THE
PERSON
IS) NAM
ED ABOVE
SELLER(S)
TRANSFEROR(S)
SIGNATURES(S)
(ALL
SELLERS MUST SIGN)
DATE
OF
SALE
SECTION
4
X
PLEASE
PAY
X
STREET ADDRESS
CITY
DEALER
NAME
(IF
SELLER
IS
A
DEALER)
STATE
ZIP
CODE
DEALER
PHONE
NUMBER
q
TI
TLE
I
TRANSFER
FEE
RENEWAL/ REGISTRATION
(IFWE)
EXOTIC SPECIES
SURCHARGE
(DUE
WITH REGISTRATION
/
RENEWAL
ONLY)
VIEWED
T
AX
PAID
(DEPUTY
REGISTRAR ONLY)
0
YES
NO

SALES
TAX
DUE
STAT
E
I
DEPUTY
FILING
FEE
TOTAL AMOUNT DUE
I
/ WE
LI
STED
ABOVE
AM
I ARE THE NEW
OWNER(S)
I
PURCHASER(S)
OF
THE
WATERCRAFT
DESCRIBED
ABOVE
AND
DO
HEREBY
MAKE
APPLI
CATI
ON
FOR
THE
CERTIFICATE
OF
T
ITLE
AND
CE
RTIFY
,
UNDER
PENALTY
O
F
P
ERJURY
,
THAT
THE
STATEMENTS
MADE
HEREIN
ARE
TRUE
AN
D CORRE CT
T
O THE
BEST
OF M
Y
KNOWLEDGE,
INFORMATI
ON,
AND
BELIEF,
AND
THAT THE
WATERCRAFT IS
SUBJECT
TO THE LIEN AND ENCUMBRANCE LISTED
AN
D NONE OTHER
X
X
SIGNATURE
DATE
SIGNATURE
DATE
MUST
BE
SIGNED
PERSONALL
Y
BY THE OWNER(S)
IF FIRM
OR
CORPORATION
BY AN
AUTHORIZED
AGENT
ALL DATA COLLECTED
ON
A WATERCRAFT APPLICAT
ION
ARE
USED
TO
IDENT IFY YOUR
WATERCRAFT.
FAILURE
TO
PROVIDE REQUIRED DATA
MAY
RESULT IN
DEN
IAL
OF
TRANSFER
OF
OWNERSH
IP,
REGISTRA
T
ION OF
THI
S
WATERCRAFT
OR
OTHER REQUESTED ACT
ION
DO NOT SIGN UNTIL
COMPLETED
LENDER COPY
LB014-05
m,
DEPARTMENT OF
NATURAL RESOURCES
STATE OF MINNESOTA
DEPARTMENT OF NATURAL RESOURCES
DIVISION OF FISH & WILDLIFE/ LICENSE CENTER
500 LAFAYETTE ROAD
SAINT PAUL, MINNESOTA 55155-4026
WATERCRAFT TITLE & REGISTRATION APPLICATION
REGISTRATION NUMBER (MUST BE
EXPIRES
LAST DAY OF
STATE
WHERE WATERCRAFT
I
PURCHASE
DATE
INDICATED)
(MONTH)
(YEAR)
REGISTERED OR
MSO
I
I
LAST
FIRST
FULL
Ml
DOLE NAME
DRIVERS
LICENSE NUMBER
SECTION 1
I
NEW OWNER(S
I
STREET
ADDRESS
PURCHASER(S)
I
CITY
I
STATE
MUST COMPLETE
LAST
FIRST
FULL Ml
DOLE NAME
STREET ADDRESS
I
CITY
*
ADDITIONAL OWNERS
W
ILL
NEED
TO
COMPLETE
ANOTHER
APPLICATI
ON
&
ATTACH.*
COUNTY
MOST
USED
LENGTH
MAKE
OF
BOAT
FT
IN
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2
LOAN
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MUST
COMPLETE
SECTION 3
SELLERS
MUST COMPLETE
&
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SECTION 5
ALL
APFU
CANTS
MUST SIGN
NEW TITLE NUMBER
I
I
STATE
MODEL
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IS THIS WATERCRAFT SUBJECT TO SECURITY AGREEMENT(S)?

YES
0
NO
IF
YES, COMPLETE INFORMATION BELOW.
Fl
RST SECURED PARTY (PRINT NAME)
Tl
ME
&
DATE OF LOAN
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RFD,
BOX NUMBER &
CITY)
AM
PM
I
STATE
I
I
ZIP
CODE
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I
PHONE
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THE
DAY)
(
)
-
DATE
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RTH
I
I
PHONE NUMBER
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HULL
I
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NUMBER
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1972
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I
/
W
E THE
OWNERS
OF
THIS
WATERCRAFT
CERTIFY
THE WATERCR
AFT
IS
FREE OF ALL
SECURITY
INTEREST,
WARRANT
TITLE,
AN
D
ASSI
GN THE TAXES
PAID
TO
THE
PERSON
IS)
NAMED
ABOVE
SELLER(S)
TRANSFEROR(S)
SIGNATURES(S)
(ALL SELLERS
MUST
SIGN
)
DATE
OF
SALE
SECTION
4
X
--------------------------
x
STREET
ADDRESS
CITY
DEALER NAME
(IF
SELLER
IS
A
CEALER)
STATE
ZIP
CODE
DEALER PHONE
NUMBER
PLEASE
PAY
TI
TLE
I
TRANSFER
FEE
RENEWAL/ REGISTRATION
(IF
DUE)
EXOTIC
SPECIES SURCHARGE
(DUE
WITH
REG
ISTRATION
/
RENEWAL
ONLY)
VIEWED T
AX
PAID
(DEPUTY
REGISTRAR ONLY)
0
YES
ONO
SALES
TAX
DUE
STATE
I
DEPUTY
FILING
FEE
TOTAL AMOUNT DUE
I
/ WE
LI
STED
ABOVE AM
I
ARE
THE NEW
OWNER(S)
I
PURCHASER(S)
OF
THE
WATERCRAFT
CE
SCRIBED ABOVE
AND
DO
HEREBY
MAKE
APPLI
CATION FOR THE CERTIFICATE
OF
TITLE
AND
CE
RTIFY
,
UNCE R
PENALTY
O
F
P
ERJURY
,
THAT THE
STATEMENTS
M
ACE
HEREIN
ARE
TRUE
A
ND CORRE CT
T
O THE
BEST
OF M
Y
KNOWLEDGE,
INFORMATI
ON,
AND
BELIEF,
AN
D
THAT
THE
WATERCR AFT
IS SUBJECT
TO THE
LIEN
AND ENCUMBRANCE LISTED
AN
D
NONE
OTHER
X
""
s
""1""N"'
R"'
_
X
G
A
""T""U"'E_ _ _ _ _ _ _ _ _ _ _ _ _
"'
s
""1"""""'U"", , . . - - - - - - - - - - - - - -
GNAT""RE
DATE
DATE
MUST
BE
SIGNED
PERSONALLY
BY THE OWNER($)
IF
FIRM OR
CORPORATION
BY AN AUTHORIZED AGENT
AL
L
DATA
COLLECTED
ON A WATERCRAFT APPLICAT
ION
ARE
USED
TO
IDEN
T IFY
YOUR
WATERCRAFT.
FAILURE
TO
PROVIDE
REQUIRED DATA
MAY
RESULT
IN
DEN
IAL
OF
TRANSFER
OF
OWNERSH
IP,
REGISTRA
T
ION
OF
THI
S
WATERCRAFT
OR
OTHER REQUESTED ACT
ION
21 DAY TEMPORARY PERMIT
DO NOT SIGN UNTIL
COMPLETED
THIS WATERCRAFT MAY
BE
OPERATED WITH THIS TEMPORARY PERMIT FOR A
PERIOD OF
TWENTY-ONE (21) DAYS FROM THE
DATE OF
ISSUANCE FOR THE
DATE
PERMIT
ISSUED
DATE
PERMIT
EXPIRES
PURPOSE OF OBTAINING MINNESOTA REGISTRATION.
THIS PERMIT
MAY
NOT
BE REPLACED
OR
UPDATED.
DEALER
OR
AUTHOR IZED AGENT SIGNATURE
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