lb014-02 new title number division of fish & wild...

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STATE OF MINNESOTA DEPARTMENT OF NATURAL RESOURCES DIVISION OF FISH & WILDLIFE / LICENSE CENTER 500 LAFAYETTE ROAD SAINT PAUL, MINNESOTA 55155-4026 DEPARTMENT COPY WATERCRAFT TITLE & REGISTRATION APPLICATION REGISTRATION NUMBER (MUST BE INDICATED) EXPIRES LAST DAY OF (MONTH) (YEAR) PURCHASE DATE STATE WHERE WATERCRAFT LAST TITLED AND REGISTERED OR MSO LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH / / STREET ADDRESS CITY STATE ZIP CODE PHONE NUMBER (DURING THE DAY) ( ) - LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH / / SECTION 1 NEW OWNER(S / PURCHASER(S) MUST COMPLETE x STREET ADDRESS CITY STATE ZIP CODE PHONE NUMBER (DURING THE DAY) ( ) - Æ ADDITIONAL OWNERS WILL NEED TO COMPLETE ANOTHER APPLICATION & ATTACH. Æ LENGTH FT IN MAKE OF BOAT MODEL HULL I.D. NUMBER (WILL BE 12 CHARACTERS FOR 1972 ON) YEAR IS THIS WATERCRAFT SUBJECT TO SECURITY AGREEMENT(S)? YES NO IF YES, COMPLETE INFORMATION BELOW. FIRST SECURED PARTY (PRINT NAME) SECTION 2 LOAN INFORMATION MUST COMPLETE x CITY ASSIGNMENT BY SELLER I / WE THE OWNERS OF THIS WATERCRAFT CERTIFY THE WATERCRAFT IS FREE OF ALL SECURITY INTERESTES, WARRANT TITLE, AND ASSIGN THE TAXES PAID TO THE PERSON(S) NAMED ABOVE. TITLE / TRANSFER FEE SELLER(S) TRANSFEROR(S) SIGNATURES(S) (ALL SELLERS MUST SIGN) DATE OF SALE X___________________________________ _______ X___________________________________ RENEWAL / REGISTRATION (IF DUE) STREET ADDRESS CITY VIEWED TAX PAID (DEPUTY REGISTRAR ONLY) YES NO DEALER NAME (IF SELLER IS A DEALER) STATE ZIP CODE SALES TAX DUE STATE / DEPUTY FILING FEE SECTION 3 SELLERS MUST COMPLETE & SIGN x DEALER PHONE NUMBER SECTION 4 PLEASE PAY TOTAL AMOUNT DUE FOR VALIDATION AND OFFICE USE ONLY 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 A ND CE RTIFY, UNDE R P ENALTY OF P ERJURY, T HAT THE ST ATEMENTS MADE HE REIN A RE TRUE A ND CORRE CT T O THE B EST OF M Y K NOWLEDGE, 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. SECTION 5 ALL APPLICANTS MUST SIGN x DO NOT SIGN UNTIL COMPLETED COUNTY MOST USED NEW TITLE NUMBER 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. EXOTIC SPECIES SURCHARGE (DUE WITH REGISTRATION / RENEWAL ONLY) S, WARRANT TITLE, AND ASSIGN THE TAXES PAID TO THE LB014-05 TYPE OF BOAT CANOE SAIL ONLY KAYAK PADDLEBOAT PONTOON ROWBOAT PADDLEBOARD AIRBOAT OPEN MOTORBOAT CABIN MOTORBOAT HOUSEBOAT SAILBOARD (WINDSURFER) INFLATABLE ROWING SHELL PERSONAL WATERCRAFT AUXILLARY SAIL OTHER TYPE OF USE PLEASURE RENTAL OR LEASE CHARTER FISHING NON-PROFIT COMMERCIAL FISHING COMM. PASS. CARRYING OTHER COMM. OPERATION HULL MATERIAL WOOD ALUMINUM STEEL FIBERGLASS PLASTIC VINYL / RUBBER / CANVAS RIGID HULL INFLATABLE OTHER PROPULSION PROPELLER SAIL WATER JET AIR THRUST MANUAL OTHER ENGINE DRIVE TYPE INBOARD OUTBOARD POD DRIVE INBOARD / STERN DRIVE NON-MOTORIZED OTHER FUEL TYPE GASOLINE DIESEL ELECTRIC OTHER IS THIS WATERCRAFT SUBJECT TO SECURITY AGREEMENT(S)? YES NO IF YES, COMPLETE INFORMATION BELOW. FIRST SECURED PARTY (PRINT NAME) TIME & DATE OF LOAN : AM PM / / NOTE: WHEN SENT TO THE SECTION 2 LOAN INFORMATION MUST COMPLETE x CITY ASSIGNMENT BY SELLER E IS A LIEN THE TITLE WILL BE SECURED PARTY. STATE ZIP CODE TIME & DATE OF LOAN : AM PM / / STATE ZIP CODE ADDRESS (NUMBER & STREET, RFD, BOX NUMBER & CITY)

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  • STATE OF MINNESOTA DEPARTMENT OF NATURAL RESOURCES DIVISION OF FISH & WILDLIFE / LICENSE CENTER 500 LAFAYETTE ROAD SAINT PAUL, MINNESOTA 55155-4026

    LB014-02

    DEPARTMENT COPY

    WATERCRAFT TITLE & REGISTRATION APPLICATION

    REGISTRATION NUMBER (MUST BE INDICATED)

    EXPIRES LAST DAY OF (MONTH) (YEAR)

    PURCHASE DATE

    STATE WHERE WATERCRAFT LAST TITLED AND REGISTERED OR MSO

    LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH / /

    STREET ADDRESS CITY STATE ZIP CODE

    PHONE NUMBER (DURING THE DAY)

    ( ) - LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH

    / /

    SECTION 1

    NEW OWNER(S / PURCHASER(S)

    MUST COMPLETE

    STREET ADDRESS CITY STATE ZIP CODE

    PHONE NUMBER (DURING THE DAY)

    ( ) - ADDITIONAL OWNERS WILL NEED TO COMPLETE ANOTHER APPLICATION & ATTACH.

    LENGTH FT IN

    MAKE OF BOAT MODEL HULL I.D. NUMBER (WILL BE 12 CHARACTERS FOR 1972 ON)

    YEAR

    TYPE

    OF

    BO

    AT

    CA

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    YES NO IF YES, COMPLETE INFORMATION BELOW. FUEL TYPE

    ELECTRIC GASOLINE DIESEL

    FIRST SECURED PARTY (PRINT NAME) TIME & DATE OF LOAN : AM PM / /

    NOTE: WHEN THERE IS A LIEN THE TITLE WILL BE SENT TO THE FIRST SECURED PARTY.

    SECTION 2

    LOAN INFORMATION

    MUST COMPLETE

    ADDRESS (NUMBER & STREET, RFD, BOX NUMBER)

    CITY

    STATE

    ZIP CODE

    ASSIGNMENT BY SELLER I / WE THE OWNERS OF THIS WATERCRAFT CERTIFY THE WATERCRAFT IS FREE OF ALL SECURITY INTERESTES, WARRANT TITLE, AND ASSIGN THE TAXES PAID TO THE PERSON(S) NAMED ABOVE.

    TITLE / TRANSFER FEE

    SELLER(S) TRANSFEROR(S) SIGNATURES(S) (ALL SELLERS MUST SIGN) DATE OF SALE

    X___________________________________ _______ X___________________________________ RENEWAL / REGISTRATION (IF DUE)

    STREET ADDRESS

    EXOTIC SPECIALS SURCHARGE (DUE WITH REGISTRATION / RENEWAL ONLY)

    CITY

    VIEWED TAX PAID (DEPUTY REGISTRAR ONLY)

    YES NO DEALER NAME (IF SELLER IS A DEALER) STATE ZIP CODE

    SALES TAX DUE STATE / DEPUTY FILING FEE

    SECTION 3

    SELLERS MUST COMPLETE

    & SIGN

    DEALER PHONE NUMBER

    SECTION 4

    PLEASE PAY

    TOTAL AMOUNT DUE $

    FOR VALIDATION AND OFFICE USE ONLY

    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 M Y 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.

    SECTION 5

    ALL APPLICANTS

    MUST SIGN

    ALL DATA COLLECTED ON A WATERCRAFT APPLICATION, WITH THE EXCEPTION OF Y OUR HOME TELEPHONE NUMBER, ARE REQUIRED BY LAW. THESE D ATA ARE USED TO IDENTIFY YOUR WATERCRAFT. FA ILURE TO PROVIDE REQUIRED DATA MAY RESULT IN DENIAL OF THE TRANSFER OF OWNERSHIP, REGISTRATION OF THIS WATERCRAFT OR OTHER REQUESTED ACTION. YOUR RECORD IS PUBLIC AND TRANSCRIPTS MAY BE ISSUED TO ANYONE.

    DO NOT SIGN UNTIL COMPLETED

    COUNTY MOST USED

    NEW TITLE NUMBER

    0.00

    Will need to print form(s) for signature.

    STATE OF MINNESOTA DEPARTMENT OF NATURAL RESOURCES DIVISION OF FISH & WILDLIFE / LICENSE CENTER 500 LAFAYETTE ROAD SAINT PAUL, MINNESOTA 55155-4026

    LB014-02

    PURCHASER COPY

    WATERCRAFT TITLE & REGISTRATION APPLICATION

    REGISTRATION NUMBER (MUST BE INDICATED)

    EXPIRES LAST DAY OF (MONTH) (YEAR)

    PURCHASE DATE

    STATE WHERE WATERCRAFT LAST TITLED AND REGISTERED OR MSO

    NEW TITLE NUMBER

    LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH / /

    STREET ADDRESS CITY STATE ZIP CODE

    PHONE NUMBER (DURING THE DAY)

    ( ) - LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH

    / /

    SECTION 1

    NEW OWNER(S / PURCHASER(S)

    MUST COMPLETE

    STREET ADDRESS CITY STATE ZIP CODE

    PHONE NUMBER (DURING THE DAY)

    ( ) - ADDITIONAL OWNERS WILL NEED TO COMPLETE ANOTHER APPLICATION & ATTACH.

    CTY / STATE MOST USED

    LENGTH FT IN

    MAKE OF BOAT MODEL HULL I.D. NUMBER (WILL BE 12 CHARACTERS FOR 1972 ON)

    YEAR

    TYP

    E O

    F B

    OA

    T

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    YES NO IF YES, COMPLETE INFORMATION BELOW. FUEL TYPE

    ELECTRIC GASOLINE DIESEL

    FIRST SECURED PARTY (PRINT NAME) TIME & DATE OF LOAN : AM PM / /

    NOTE: WHEN THERE IS A LIEN THE TITLE WILL BE SENT TO THE FIRST SECURED PARTY.

    SECTION 2

    LOAN INFORMATION

    MUST COMPLETE

    ADDRESS (NUMBER & STREET, RFD, BOX NUMBER)

    CITY

    STATE

    ZIP CODE

    ASSIGNMENT BY SELLER I / WE THE OWNERS OF THIS WATERCRAFT CERTIFY THE WATERCRAFT IS FREE OF ALL SECURITY INTERESTES, WARRANT TITLE, AND ASSIGN THE TAXES PAID TO THE PERSON(S) NAMED ABOVE.

    TITLE / TRANSFER FEE

    SELLER(S) TRANSFEROR(S) SIGNATURES(S) (ALL SELLERS MUST SIGN) DATE OF SALE

    X___________________________________ _______ X___________________________________ RENEWAL / REGISTRATION (IF DUE)

    STREET ADDRESS

    EXOTIC SPECIALS SURCHARGE (DUE WITH REGISTRATION / RENEWAL ONLY)

    CITY

    VIEWED TAX PAID (DEPUTY REGISTRAR ONLY)

    YES NO DEALER NAME (IF SELLER IS A DEALER) STATE ZIP CODE

    SALES TAX DUE STATE / DEPUTY FILING FEE

    SECTION 3

    SELLERS MUST COMPLETE

    & SIGN

    DEALER PHONE NUMBER

    SECTION 4

    PLEASE PAY

    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 M Y 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.

    SECTION 5

    ALL APPLICANTS

    MUST SIGN

    VALID ONLY WITH DEPUTY REGISTRAR STAMP

    TEMPORARY LICENSE STAMP THE ABOVE NAMED PERSON HAS PAID LICENSE FEE AND THE APPLICATION IS BEING PROCESSED. THIS RECEIPT EXPIRES 21 DAYS FROM DATE OF ISSUE.

    FOR DNR OFFICE USE ONLY FOR VALIDATION AND OFFICE USE ONLY

    0.00

    Will need to print form(s) for signature.

    STATE OF MINNESOTA DEPARTMENT OF NATURAL RESOURCES DIVISION OF FISH & WILDLIFE / LICENSE CENTER 500 LAFAYETTE ROAD SAINT PAUL, MINNESOTA 55155-4026

    LB014-02

    PURCHASER COPY

    WATERCRAFT TITLE & REGISTRATION APPLICATION

    REGISTRATION NUMBER (MUST BE INDICATED)

    EXPIRES LAST DAY OF (MONTH) (YEAR)

    PURCHASE DATE

    STATE WHERE WATERCRAFT LAST TITLED AND REGISTERED OR MSO

    NEW TITLE NUMBER

    LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH / /

    STREET ADDRESS CITY STATE ZIP CODE

    PHONE NUMBER (DURING THE DAY)

    ( ) - LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH

    / /

    SECTION 1

    NEW OWNER(S / PURCHASER(S)

    MUST COMPLETE

    STREET ADDRESS CITY STATE ZIP CODE

    PHONE NUMBER (DURING THE DAY)

    ( ) - ADDITIONAL OWNERS WILL NEED TO COMPLETE ANOTHER APPLICATION & ATTACH.

    CTY / STATE MOST USED

    LENGTH FT IN

    MAKE OF BOAT MODEL HULL I.D. NUMBER (WILL BE 12 CHARACTERS FOR 1972 ON)

    YEAR

    TYP

    E O

    F B

    OA

    T

    CA

    NO

    E

    SA

    IL O

    NLY

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    YES NO IF YES, COMPLETE INFORMATION BELOW. FUEL TYPE

    ELECTRIC GASOLINE DIESEL

    FIRST SECURED PARTY (PRINT NAME) TIME & DATE OF LOAN : AM PM / /

    NOTE: WHEN THERE IS A LIEN THE TITLE WILL BE SENT TO THE FIRST SECURED PARTY.

    SECTION 2

    LOAN INFORMATION

    MUST COMPLETE

    ADDRESS (NUMBER & STREET, RFD, BOX NUMBER)

    CITY

    STATE

    ZIP CODE

    ASSIGNMENT BY SELLER I / WE THE OWNERS OF THIS WATERCRAFT CERTIFY THE WATERCRAFT IS FREE OF ALL SECURITY INTERESTES, WARRANT TITLE, AND ASSIGN THE TAXES PAID TO THE PERSON(S) NAMED ABOVE.

    TITLE / TRANSFER FEE

    SELLER(S) TRANSFEROR(S) SIGNATURES(S) (ALL SELLERS MUST SIGN) DATE OF SALE

    X___________________________________ _______ X___________________________________ RENEWAL / REGISTRATION (IF DUE)

    STREET ADDRESS

    EXOTIC SPECIALS SURCHARGE (DUE WITH REGISTRATION / RENEWAL ONLY)

    CITY

    VIEWED TAX PAID (DEPUTY REGISTRAR ONLY)

    YES NO DEALER NAME (IF SELLER IS A DEALER) STATE ZIP CODE

    SALES TAX DUE STATE / DEPUTY FILING FEE

    SECTION 3

    SELLERS MUST COMPLETE

    & SIGN

    DEALER PHONE NUMBER

    SECTION 4

    PLEASE PAY

    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 M Y 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.

    SECTION 5

    ALL APPLICANTS

    MUST SIGN

    VALID ONLY WITH DEPUTY REGISTRAR STAMP

    TEMPORARY LICENSE STAMP THE ABOVE NAMED PERSON HAS PAID LICENSE FEE AND THE APPLICATION IS BEING PROCESSED. THIS RECEIPT EXPIRES 21 DAYS FROM DATE OF ISSUE.

    FOR DNR OFFICE USE ONLY FOR VALIDATION AND OFFICE USE ONLY

    0.00

    Will need to print form(s) for signature.

    STATE OF MINNESOTA DEPARTMENT OF NATURAL RESOURCES DIVISION OF FISH & WILDLIFE / LICENSE CENTER 500 LAFAYETTE ROAD SAINT PAUL, MINNESOTA 55155-4026

    LB014-02

    PURCHASER COPY

    WATERCRAFT TITLE & REGISTRATION APPLICATION

    REGISTRATION NUMBER (MUST BE INDICATED)

    EXPIRES LAST DAY OF (MONTH) (YEAR)

    PURCHASE DATE

    STATE WHERE WATERCRAFT LAST TITLED AND REGISTERED OR MSO

    NEW TITLE NUMBER

    LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH / /

    STREET ADDRESS CITY STATE ZIP CODE

    PHONE NUMBER (DURING THE DAY)

    ( ) - LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH

    / /

    SECTION 1

    NEW OWNER(S / PURCHASER(S)

    MUST COMPLETE

    STREET ADDRESS CITY STATE ZIP CODE

    PHONE NUMBER (DURING THE DAY)

    ( ) - ADDITIONAL OWNERS WILL NEED TO COMPLETE ANOTHER APPLICATION & ATTACH.

    CTY / STATE MOST USED

    LENGTH FT IN

    MAKE OF BOAT MODEL HULL I.D. NUMBER (WILL BE 12 CHARACTERS FOR 1972 ON)

    YEAR

    TYP

    E O

    F B

    OA

    T

    CA

    NO

    E

    SA

    IL O

    NLY

    KA

    YA

    K

    PA

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    YES NO IF YES, COMPLETE INFORMATION BELOW. FUEL TYPE

    ELECTRIC GASOLINE DIESEL

    FIRST SECURED PARTY (PRINT NAME) TIME & DATE OF LOAN : AM PM / /

    NOTE: WHEN THERE IS A LIEN THE TITLE WILL BE SENT TO THE FIRST SECURED PARTY.

    SECTION 2

    LOAN INFORMATION

    MUST COMPLETE

    ADDRESS (NUMBER & STREET, RFD, BOX NUMBER)

    CITY

    STATE

    ZIP CODE

    ASSIGNMENT BY SELLER I / WE THE OWNERS OF THIS WATERCRAFT CERTIFY THE WATERCRAFT IS FREE OF ALL SECURITY INTERESTES, WARRANT TITLE, AND ASSIGN THE TAXES PAID TO THE PERSON(S) NAMED ABOVE.

    TITLE / TRANSFER FEE

    SELLER(S) TRANSFEROR(S) SIGNATURES(S) (ALL SELLERS MUST SIGN) DATE OF SALE

    X___________________________________ _______ X___________________________________ RENEWAL / REGISTRATION (IF DUE)

    STREET ADDRESS

    EXOTIC SPECIALS SURCHARGE (DUE WITH REGISTRATION / RENEWAL ONLY)

    CITY

    VIEWED TAX PAID (DEPUTY REGISTRAR ONLY)

    YES NO DEALER NAME (IF SELLER IS A DEALER) STATE ZIP CODE

    SALES TAX DUE STATE / DEPUTY FILING FEE

    SECTION 3

    SELLERS MUST COMPLETE

    & SIGN

    DEALER PHONE NUMBER

    SECTION 4

    PLEASE PAY

    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 M Y 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.

    SECTION 5

    ALL APPLICANTS

    MUST SIGN

    VALID ONLY WITH DEPUTY REGISTRAR STAMP

    TEMPORARY LICENSE STAMP THE ABOVE NAMED PERSON HAS PAID LICENSE FEE AND THE APPLICATION IS BEING PROCESSED. THIS RECEIPT EXPIRES 21 DAYS FROM DATE OF ISSUE.

    FOR DNR OFFICE USE ONLY FOR VALIDATION AND OFFICE USE ONLY

    0.00

    Will need to print form(s) for signature.

    STATE OF MINNESOTA DEPARTMENT OF NATURAL RESOURCES DIVISION OF FISH & WILDLIFE / LICENSE CENTER 500 LAFAYETTE ROAD SAINT PAUL, MINNESOTA 55155-4026

    LB014-02

    PURCHASER COPY

    WATERCRAFT TITLE & REGISTRATION APPLICATION

    REGISTRATION NUMBER (MUST BE INDICATED)

    EXPIRES LAST DAY OF (MONTH) (YEAR)

    PURCHASE DATE

    STATE WHERE WATERCRAFT LAST TITLED AND REGISTERED OR MSO

    NEW TITLE NUMBER

    LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH / /

    STREET ADDRESS CITY STATE ZIP CODE

    PHONE NUMBER (DURING THE DAY)

    ( ) - LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH

    / /

    SECTION 1

    NEW OWNER(S / PURCHASER(S)

    MUST COMPLETE

    STREET ADDRESS CITY STATE ZIP CODE

    PHONE NUMBER (DURING THE DAY)

    ( ) - ADDITIONAL OWNERS WILL NEED TO COMPLETE ANOTHER APPLICATION & ATTACH.

    CTY / STATE MOST USED

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    YES NO IF YES, COMPLETE INFORMATION BELOW. FUEL TYPE

    ELECTRIC GASOLINE DIESEL

    FIRST SECURED PARTY (PRINT NAME) TIME & DATE OF LOAN : AM PM / /

    NOTE: WHEN THERE IS A LIEN THE TITLE WILL BE SENT TO THE FIRST SECURED PARTY.

    SECTION 2

    LOAN INFORMATION

    MUST COMPLETE

    ADDRESS (NUMBER & STREET, RFD, BOX NUMBER)

    CITY

    STATE

    ZIP CODE

    ASSIGNMENT BY SELLER I / WE THE OWNERS OF THIS WATERCRAFT CERTIFY THE WATERCRAFT IS FREE OF ALL SECURITY INTERESTES, WARRANT TITLE, AND ASSIGN THE TAXES PAID TO THE PERSON(S) NAMED ABOVE.

    TITLE / TRANSFER FEE

    SELLER(S) TRANSFEROR(S) SIGNATURES(S) (ALL SELLERS MUST SIGN) DATE OF SALE

    X___________________________________ _______ X___________________________________ RENEWAL / REGISTRATION (IF DUE)

    STREET ADDRESS

    EXOTIC SPECIALS SURCHARGE (DUE WITH REGISTRATION / RENEWAL ONLY)

    CITY

    VIEWED TAX PAID (DEPUTY REGISTRAR ONLY)

    YES NO DEALER NAME (IF SELLER IS A DEALER) STATE ZIP CODE

    SALES TAX DUE STATE / DEPUTY FILING FEE

    SECTION 3

    SELLERS MUST COMPLETE

    & SIGN

    DEALER PHONE NUMBER

    SECTION 4

    PLEASE PAY

    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 M Y 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.

    SECTION 5

    ALL APPLICANTS

    MUST SIGN

    VALID ONLY WITH DEPUTY REGISTRAR STAMP

    TEMPORARY LICENSE STAMP THE ABOVE NAMED PERSON HAS PAID LICENSE FEE AND THE APPLICATION IS BEING PROCESSED. THIS RECEIPT EXPIRES 21 DAYS FROM DATE OF ISSUE.

    FOR DNR OFFICE USE ONLY FOR VALIDATION AND OFFICE USE ONLY

    0.00

    Will need to print form(s) for signature.

    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.

    STATE OF MINNESOTA DEPARTMENT OF NATURAL RESOURCES DIVISION OF FISH & WILDLIFE / LICENSE CENTER 500 LAFAYETTE ROAD SAINT PAUL, MINNESOTA 55155-4026

    LB014-02

    DEPARTMENT COPY

    WATERCRAFT TITLE & REGISTRATION APPLICATION

    REGISTRATION NUMBER (MUST BE INDICATED)

    EXPIRES LAST DAY OF (MONTH) (YEAR)

    PURCHASE DATE

    STATE WHERE WATERCRAFT LAST TITLED AND REGISTERED OR MSO

    LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH / /

    STREET ADDRESS CITY STATE ZIP CODE

    PHONE NUMBER (DURING THE DAY)

    ( ) - LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH

    / /

    SECTION 1

    NEW OWNER(S / PURCHASER(S)

    MUST COMPLETE

    STREET ADDRESS CITY STATE ZIP CODE

    PHONE NUMBER (DURING THE DAY)

    ( ) - ADDITIONAL OWNERS WILL NEED TO COMPLETE ANOTHER APPLICATION & ATTACH.

    LENGTH FT IN

    MAKE OF BOAT MODEL HULL I.D. NUMBER (WILL BE 12 CHARACTERS FOR 1972 ON)

    YEAR

    TYPE

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    YES NO IF YES, COMPLETE INFORMATION BELOW. FUEL TYPE

    ELECTRIC GASOLINE DIESEL

    FIRST SECURED PARTY (PRINT NAME) TIME & DATE OF LOAN : AM PM / /

    NOTE: WHEN THERE IS A LIEN THE TITLE WILL BE SENT TO THE FIRST SECURED PARTY.

    SECTION 2

    LOAN INFORMATION

    MUST COMPLETE

    ADDRESS (NUMBER & STREET, RFD, BOX NUMBER)

    CITY

    STATE

    ZIP CODE

    ASSIGNMENT BY SELLER I / WE THE OWNERS OF THIS WATERCRAFT CERTIFY THE WATERCRAFT IS FREE OF ALL SECURITY INTERESTES, WARRANT TITLE, AND ASSIGN THE TAXES PAID TO THE PERSON(S) NAMED ABOVE.

    TITLE / TRANSFER FEE

    SELLER(S) TRANSFEROR(S) SIGNATURES(S) (ALL SELLERS MUST SIGN) DATE OF SALE

    X___________________________________ _______ X___________________________________ RENEWAL / REGISTRATION (IF DUE)

    STREET ADDRESS

    EXOTIC SPECIALS SURCHARGE (DUE WITH REGISTRATION / RENEWAL ONLY)

    CITY

    VIEWED TAX PAID (DEPUTY REGISTRAR ONLY)

    YES NO DEALER NAME (IF SELLER IS A DEALER) STATE ZIP CODE

    SALES TAX DUE STATE / DEPUTY FILING FEE

    SECTION 3

    SELLERS MUST COMPLETE

    & SIGN

    DEALER PHONE NUMBER

    SECTION 4

    PLEASE PAY

    TOTAL AMOUNT DUE $

    FOR VALIDATION AND OFFICE USE ONLY

    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 M Y 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.

    SECTION 5

    ALL APPLICANTS

    MUST SIGN

    ALL DATA COLLECTED ON A WATERCRAFT APPLICATION, WITH THE EXCEPTION OF Y OUR HOME TELEPHONE NUMBER, ARE REQUIRED BY LAW. THESE D ATA ARE USED TO IDENTIFY YOUR WATERCRAFT. FA ILURE TO PROVIDE REQUIRED DATA MAY RESULT IN DENIAL OF THE TRANSFER OF OWNERSHIP, REGISTRATION OF THIS WATERCRAFT OR OTHER REQUESTED ACTION. YOUR RECORD IS PUBLIC AND TRANSCRIPTS MAY BE ISSUED TO ANYONE.

    DO NOT SIGN UNTIL COMPLETED

    COUNTY MOST USED

    NEW TITLE NUMBER

    0.00

    Will need to print form(s) for signature.

    STATE OF MINNESOTA DEPARTMENT OF NATURAL RESOURCES DIVISION OF FISH & WILD LIFE / LICENSE CENTER 500 LAFAYETTE ROAD SAINT PAUL, MINNESOTA 55155-4026

    LB014-02

    DEPARTMENT COPY

    WATERCRAFT TITLE & REGISTRATION APPLICATION

    REGISTRATION NUMBER (MUST BE INDICATED)

    EXPIRES LAST DAY OF (MONTH) (YEAR)

    PURCHASE DATE

    STATE WHERE WATERCRAFT LAST TITLED AND REGISTERED OR MSO

    LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH / /

    STREET ADDRESS CITY STATE ZIP CODE

    PHONE NUMBER (DURING THE DAY)

    ( ) - LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH

    / /

    SECTION 1

    NEW OWNER(S / PURCHASER(S)

    MUST COMPLETE

    STREET ADDRESS CITY STATE ZIP CODE

    PHONE NUMBER (DURING THE DAY)

    ( ) - ADDITIONAL OWNERS WILL NEED TO COMPLETE ANOTHER APPLICATION & ATTACH.

    LENGTH FT IN

    MAKE OF BOAT MODEL HULL I.D. NUMBER (WILL BE 12 CHARACTERS FOR 1972 ON)

    YEAR

    TY

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    IS THIS WATERCRAFT SUBJECT TO SECURITY AGREEMENT(S)?

    YES NO IF YES, COMPLETE INFORMATION BELOW.

    FUEL TYPE

    ELECTRIC GASOLINE DIESEL

    FIRST SECURED PARTY (PRINT NAME) TIME & DATE OF LOAN : AM PM / /

    NOTE: WHEN THERE IS A LIEN THE TITLE WILL BE SENT TO THE FIRST SECURED PARTY.

    SECTION 2

    LOAN INFORMATION

    MUST COMPLETE

    ADDRESS (NUMBER & STREET, RFD, BOX NUMBER)

    CITY

    STATE

    ZIP CODE

    ASSIGNMENT BY SELLER

    I / WE THE OWNERS OF THIS WATERCRAFT CERTIFY THE WATERCRAFT IS FREE OF ALL SECURITY INTEREST, WARRANT TITLE, AND ASSIGN THE T AXES PAID TO THE PERSON(S) NAMED ABOVE.

    TITLE / TRANSFER FEE

    SELLER(S) TRANSFEROR(S) SIGNATURES(S) ( ALL SELLERS MUST SIGN) DATE OF SALE

    X_________________ __________________ _______ X_______________________ ____________ RENEWAL / REGISTRATION (IF DUE)

    STREET ADDRESS

    EXOTIC SPECIES SURCHARGE (DUE WITH REGISTRATION / RENEWAL ONLY)

    CITY

    VIEWED TAX PAID (DEPUTY REGISTRAR ONLY)

    YES NO DEALER NAME (IF SELLER IS A DEALER) STATE ZIP CODE

    SALES TAX DUE STATE / DEPUTY FILING FEE

    SECTION 3

    SELLERS MUST COMPLETE

    & SIGN

    DEALER PHONE NUMBER

    SECTION 4

    PLEASE PAY

    TOTAL AMOUNT DUE $

    FOR VALIDATION AND OFFICE USE ONLY

    I / WE LISTED ABOVE AM / ARE THE NEW OWNE R(S) / PURCHASER(S) OF THE WATERCRAFT DESCRI BED ABOVE AND DO HEREBY MAKE APPLICATION F OR THE CERTIFICATE OF TITLE AND CERTIFY, UNDER PENALTY OF PERJURY, THAT THE STATEMENTS MA DE HEREIN ARE TRUE AND CORRECT TO THE BEST OF M Y 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.

    SECTION 5

    ALL APPLICANTS

    MUST SIGN

    ALL DATA COLLECTED ON A WATERCRAFT APPLICATION, WITH T HE EXCEPTION OF Y OUR HOME T ELEPHONE NUMBER, ARE REQUIRED BY LAW. THESE D ATA ARE USED TO IDENTIFY YOUR WATERCRAFT. FA ILURE TO PROVIDE REQUIRED DATA MAY RESULT IN DE NIAL OF THE TRANSFER OF OWNERSHIP, REGISTRATION OF THIS WATERCRAFT OR OTHER REQUESTED ACTION. YOUR RECORD IS PUBLIC AND TRANSCRIPTS MAY BE ISSUED TO ANYONE.

    DO NOT SIGN UNTIL COMPLETED

    COUNTY MOST USED

    NEW TITLE NUMBER

    STATE OF MINNESOTA DEPARTMENT OF NATURAL RESOURCES DIVISION OF FISH & WILDLIFE / LICENSE CENTER 500 LAFAYETTE ROAD SAINT PAUL, MINNESOTA 55155-4026

    LB014-02

    DEPARTMENT COPY

    WATERCRAFT TITLE & REGISTRATION APPLICATION

    REGISTRATION NUMBER (MUST BE INDICATED)

    EXPIRES LAST DAY OF (MONTH) (YEAR)

    PURCHASE DATE

    STATE WHERE WATERCRAFT LAST TITLED AND REGISTERED OR MSO

    LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH / /

    STREET ADDRESS CITY STATE ZIP CODE

    PHONE NUMBER (DURING THE DAY)

    ( ) - LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH

    / /

    SECTION 1

    NEW OWNER(S / PURCHASER(S)

    MUST COMPLETE

    STREET ADDRESS CITY STATE ZIP CODE

    PHONE NUMBER (DURING THE DAY)

    ( ) - ADDITIONAL OWNERS WILL NEED TO COMPLETE ANOTHER APPLICATION & ATTACH.

    LENGTH FT IN

    MAKE OF BOAT MODEL HULL I.D. NUMBER (WILL BE 12 CHARACTERS FOR 1972 ON)

    YEAR

    TYPE

    OF

    BO

    AT

    CA

    NO

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    ON

    LY

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    YES NO IF YES, COMPLETE INFORMATION BELOW. FUEL TYPE

    ELECTRIC GASOLINE DIESEL

    FIRST SECURED PARTY (PRINT NAME) TIME & DATE OF LOAN : AM PM / /

    NOTE: WHEN THERE IS A LIEN THE TITLE WILL BE SENT TO THE FIRST SECURED PARTY.

    SECTION 2

    LOAN INFORMATION

    MUST COMPLETE

    ADDRESS (NUMBER & STREET, RFD, BOX NUMBER)

    CITY

    STATE

    ZIP CODE

    ASSIGNMENT BY SELLER I / WE THE OWNERS OF THIS WATERCRAFT CERTIFY THE WATERCRAFT IS FREE OF ALL SECURITY INTERESTES, WARRANT TITLE, AND ASSIGN THE TAXES PAID TO THE PERSON(S) NAMED ABOVE.

    TITLE / TRANSFER FEE

    SELLER(S) TRANSFEROR(S) SIGNATURES(S) (ALL SELLERS MUST SIGN) DATE OF SALE

    X___________________________________ _______ X___________________________________ RENEWAL / REGISTRATION (IF DUE)

    STREET ADDRESS

    EXOTIC SPECIALS SURCHARGE (DUE WITH REGISTRATION / RENEWAL ONLY)

    CITY

    VIEWED TAX PAID (DEPUTY REGISTRAR ONLY)

    YES NO DEALER NAME (IF SELLER IS A DEALER) STATE ZIP CODE

    SALES TAX DUE STATE / DEPUTY FILING FEE

    SECTION 3

    SELLERS MUST COMPLETE

    & SIGN

    DEALER PHONE NUMBER

    SECTION 4

    PLEASE PAY

    TOTAL AMOUNT DUE $

    FOR VALIDATION AND OFFICE USE ONLY

    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 M Y 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.

    SECTION 5

    ALL APPLICANTS

    MUST SIGN

    ALL DATA COLLECTED ON A WATERCRAFT APPLICATION, WITH THE EXCEPTION OF Y OUR HOME TELEPHONE NUMBER, ARE REQUIRED BY LAW. THESE D ATA ARE USED TO IDENTIFY YOUR WATERCRAFT. FA ILURE TO PROVIDE REQUIRED DATA MAY RESULT IN DENIAL OF THE TRANSFER OF OWNERSHIP, REGISTRATION OF THIS WATERCRAFT OR OTHER REQUESTED ACTION. YOUR RECORD IS PUBLIC AND TRANSCRIPTS MAY BE ISSUED TO ANYONE.

    DO NOT SIGN UNTIL COMPLETED

    COUNTY MOST USED

    NEW TITLE NUMBER

    0.00

    Will need to print form(s) for signature.

    LB014-03LB014-04LB014-05

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    STATE OF MINNESOTA DEPARTMENT OF NATURAL RESOURCES DIVISION OF FISH & WILDLIFE / LICENSE CENTER 500 LAFAYETTE ROAD SAINT PAUL, MINNESOTA 55155-4026

    LB014-02

    DEPARTMENT COPY

    WATERCRAFT TITLE & REGISTRATION APPLICATION

    REGISTRATION NUMBER (MUST BE INDICATED)

    EXPIRES LAST DAY OF (MONTH) (YEAR)

    PURCHASE DATE

    STATE WHERE WATERCRAFT LAST TITLED AND REGISTERED OR MSO

    LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH / /

    STREET ADDRESS CITY STATE ZIP CODE

    PHONE NUMBER (DURING THE DAY)

    ( ) - LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH

    / /

    SECTION 1

    NEW OWNER(S / PURCHASER(S)

    MUST COMPLETE

    STREET ADDRESS CITY STATE ZIP CODE

    PHONE NUMBER (DURING THE DAY)

    ( ) - ADDITIONAL OWNERS WILL NEED TO COMPLETE ANOTHER APPLICATION & ATTACH.

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    YES NO IF YES, COMPLETE INFORMATION BELOW. FUEL TYPE

    ELECTRIC GASOLINE DIESEL

    FIRST SECURED PARTY (PRINT NAME) TIME & DATE OF LOAN : AM PM / /

    NOTE: WHEN THERE IS A LIEN THE TITLE WILL BE SENT TO THE FIRST SECURED PARTY.

    SECTION 2

    LOAN INFORMATION

    MUST COMPLETE

    ADDRESS (NUMBER & STREET, RFD, BOX NUMBER)

    CITY

    STATE

    ZIP CODE

    ASSIGNMENT BY SELLER I / WE THE OWNERS OF THIS WATERCRAFT CERTIFY THE WATERCRAFT IS FREE OF ALL SECURITY INTERESTES, WARRANT TITLE, AND ASSIGN THE TAXES PAID TO THE PERSON(S) NAMED ABOVE.

    TITLE / TRANSFER FEE

    SELLER(S) TRANSFEROR(S) SIGNATURES(S) (ALL SELLERS MUST SIGN) DATE OF SALE

    X___________________________________ _______ X___________________________________ RENEWAL / REGISTRATION (IF DUE)

    STREET ADDRESS

    EXOTIC SPECIALS SURCHARGE (DUE WITH REGISTRATION / RENEWAL ONLY)

    CITY

    VIEWED TAX PAID (DEPUTY REGISTRAR ONLY)

    YES NO DEALER NAME (IF SELLER IS A DEALER) STATE ZIP CODE

    SALES TAX DUE STATE / DEPUTY FILING FEE

    SECTION 3

    SELLERS MUST COMPLETE

    & SIGN

    DEALER PHONE NUMBER

    SECTION 4

    PLEASE PAY

    TOTAL AMOUNT DUE $

    FOR VALIDATION AND OFFICE USE ONLY

    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 M Y 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.

    SECTION 5

    ALL APPLICANTS

    MUST SIGN

    ALL DATA COLLECTED ON A WATERCRAFT APPLICATION, WITH THE EXCEPTION OF Y OUR HOME TELEPHONE NUMBER, ARE REQUIRED BY LAW. THESE D ATA ARE USED TO IDENTIFY YOUR WATERCRAFT. FA ILURE TO PROVIDE REQUIRED DATA MAY RESULT IN DENIAL OF THE TRANSFER OF OWNERSHIP, REGISTRATION OF THIS WATERCRAFT OR OTHER REQUESTED ACTION. YOUR RECORD IS PUBLIC AND TRANSCRIPTS MAY BE ISSUED TO ANYONE.

    DO NOT SIGN UNTIL COMPLETED

    COUNTY MOST USED

    NEW TITLE NUMBER

    0.00

    Will need to print form(s) for signature.

    STATE OF MINNESOTA DEPARTMENT OF NATURAL RESOURCES DIVISION OF FISH & WILDLIFE / LICENSE CENTER 500 LAFAYETTE ROAD SAINT PAUL, MINNESOTA 55155-4026

    LB014-02

    PURCHASER COPY

    WATERCRAFT TITLE & REGISTRATION APPLICATION

    REGISTRATION NUMBER (MUST BE INDICATED)

    EXPIRES LAST DAY OF (MONTH) (YEAR)

    PURCHASE DATE

    STATE WHERE WATERCRAFT LAST TITLED AND REGISTERED OR MSO

    NEW TITLE NUMBER

    LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH / /

    STREET ADDRESS CITY STATE ZIP CODE

    PHONE NUMBER (DURING THE DAY)

    ( ) - LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH

    / /

    SECTION 1

    NEW OWNER(S / PURCHASER(S)

    MUST COMPLETE

    STREET ADDRESS CITY STATE ZIP CODE

    PHONE NUMBER (DURING THE DAY)

    ( ) - ADDITIONAL OWNERS WILL NEED TO COMPLETE ANOTHER APPLICATION & ATTACH.

    CTY / STATE MOST USED

    LENGTH FT IN

    MAKE OF BOAT MODEL HULL I.D. NUMBER (WILL BE 12 CHARACTERS FOR 1972 ON)

    YEAR

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    IS THIS WATERCRAFT SUBJECT TO SECURITY AGREEMENT(S)?

    YES NO IF YES, COMPLETE INFORMATION BELOW. FUEL TYPE

    ELECTRIC GASOLINE DIESEL

    FIRST SECURED PARTY (PRINT NAME) TIME & DATE OF LOAN : AM PM / /

    NOTE: WHEN THERE IS A LIEN THE TITLE WILL BE SENT TO THE FIRST SECURED PARTY.

    SECTION 2

    LOAN INFORMATION

    MUST COMPLETE

    ADDRESS (NUMBER & STREET, RFD, BOX NUMBER)

    CITY

    STATE

    ZIP CODE

    ASSIGNMENT BY SELLER I / WE THE OWNERS OF THIS WATERCRAFT CERTIFY THE WATERCRAFT IS FREE OF ALL SECURITY INTERESTES, WARRANT TITLE, AND ASSIGN THE TAXES PAID TO THE PERSON(S) NAMED ABOVE.

    TITLE / TRANSFER FEE

    SELLER(S) TRANSFEROR(S) SIGNATURES(S) (ALL SELLERS MUST SIGN) DATE OF SALE

    X___________________________________ _______ X___________________________________ RENEWAL / REGISTRATION (IF DUE)

    STREET ADDRESS

    EXOTIC SPECIALS SURCHARGE (DUE WITH REGISTRATION / RENEWAL ONLY)

    CITY

    VIEWED TAX PAID (DEPUTY REGISTRAR ONLY)

    YES NO DEALER NAME (IF SELLER IS A DEALER) STATE ZIP CODE

    SALES TAX DUE STATE / DEPUTY FILING FEE

    SECTION 3

    SELLERS MUST COMPLETE

    & SIGN

    DEALER PHONE NUMBER

    SECTION 4

    PLEASE PAY

    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 M Y 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.

    SECTION 5

    ALL APPLICANTS

    MUST SIGN

    VALID ONLY WITH DEPUTY REGISTRAR STAMP

    TEMPORARY LICENSE STAMP THE ABOVE NAMED PERSON HAS PAID LICENSE FEE AND THE APPLICATION IS BEING PROCESSED. THIS RECEIPT EXPIRES 21 DAYS FROM DATE OF ISSUE.

    FOR DNR OFFICE USE ONLY FOR VALIDATION AND OFFICE USE ONLY

    0.00

    Will need to print form(s) for signature.

    STATE OF MINNESOTA DEPARTMENT OF NATURAL RESOURCES DIVISION OF FISH & WILDLIFE / LICENSE CENTER 500 LAFAYETTE ROAD SAINT PAUL, MINNESOTA 55155-4026

    LB014-02

    PURCHASER COPY

    WATERCRAFT TITLE & REGISTRATION APPLICATION

    REGISTRATION NUMBER (MUST BE INDICATED)

    EXPIRES LAST DAY OF (MONTH) (YEAR)

    PURCHASE DATE

    STATE WHERE WATERCRAFT LAST TITLED AND REGISTERED OR MSO

    NEW TITLE NUMBER

    LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH / /

    STREET ADDRESS CITY STATE ZIP CODE

    PHONE NUMBER (DURING THE DAY)

    ( ) - LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH

    / /

    SECTION 1

    NEW OWNER(S / PURCHASER(S)

    MUST COMPLETE

    STREET ADDRESS CITY STATE ZIP CODE

    PHONE NUMBER (DURING THE DAY)

    ( ) - ADDITIONAL OWNERS WILL NEED TO COMPLETE ANOTHER APPLICATION & ATTACH.

    CTY / STATE MOST USED

    LENGTH FT IN

    MAKE OF BOAT MODEL HULL I.D. NUMBER (WILL BE 12 CHARACTERS FOR 1972 ON)

    YEAR

    TY

    PE

    OF

    BO

    AT

    CA

    NO

    E

    SA

    IL O

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    IS THIS WATERCRAFT SUBJECT TO SECURITY AGREEMENT(S)?

    YES NO IF YES, COMPLETE INFORMATION BELOW. FUEL TYPE

    ELECTRIC GASOLINE DIESEL

    FIRST SECURED PARTY (PRINT NAME) TIME & DATE OF LOAN : AM PM / /

    NOTE: WHEN THERE IS A LIEN THE TITLE WILL BE SENT TO THE FIRST SECURED PARTY.

    SECTION 2

    LOAN INFORMATION

    MUST COMPLETE

    ADDRESS (NUMBER & STREET, RFD, BOX NUMBER)

    CITY

    STATE

    ZIP CODE

    ASSIGNMENT BY SELLER I / WE THE OWNERS OF THIS WATERCRAFT CERTIFY THE WATERCRAFT IS FREE OF ALL SECURITY INTERESTES, WARRANT TITLE, AND ASSIGN THE TAXES PAID TO THE PERSON(S) NAMED ABOVE.

    TITLE / TRANSFER FEE

    SELLER(S) TRANSFEROR(S) SIGNATURES(S) (ALL SELLERS MUST SIGN) DATE OF SALE

    X___________________________________ _______ X___________________________________ RENEWAL / REGISTRATION (IF DUE)

    STREET ADDRESS

    EXOTIC SPECIALS SURCHARGE (DUE WITH REGISTRATION / RENEWAL ONLY)

    CITY

    VIEWED TAX PAID (DEPUTY REGISTRAR ONLY)

    YES NO DEALER NAME (IF SELLER IS A DEALER) STATE ZIP CODE

    SALES TAX DUE STATE / DEPUTY FILING FEE

    SECTION 3

    SELLERS MUST COMPLETE

    & SIGN

    DEALER PHONE NUMBER

    SECTION 4

    PLEASE PAY

    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 M Y 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.

    SECTION 5

    ALL APPLICANTS

    MUST SIGN

    VALID ONLY WITH DEPUTY REGISTRAR STAMP

    TEMPORARY LICENSE STAMP THE ABOVE NAMED PERSON HAS PAID LICENSE FEE AND THE APPLICATION IS BEING PROCESSED. THIS RECEIPT EXPIRES 21 DAYS FROM DATE OF ISSUE.

    FOR DNR OFFICE USE ONLY FOR VALIDATION AND OFFICE USE ONLY

    0.00

    Will need to print form(s) for signature.

    STATE OF MINNESOTA DEPARTMENT OF NATURAL RESOURCES DIVISION OF FISH & WILDLIFE / LICENSE CENTER 500 LAFAYETTE ROAD SAINT PAUL, MINNESOTA 55155-4026

    LB014-02

    PURCHASER COPY

    WATERCRAFT TITLE & REGISTRATION APPLICATION

    REGISTRATION NUMBER (MUST BE INDICATED)

    EXPIRES LAST DAY OF (MONTH) (YEAR)

    PURCHASE DATE

    STATE WHERE WATERCRAFT LAST TITLED AND REGISTERED OR MSO

    NEW TITLE NUMBER

    LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH / /

    STREET ADDRESS CITY STATE ZIP CODE

    PHONE NUMBER (DURING THE DAY)

    ( ) - LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH

    / /

    SECTION 1

    NEW OWNER(S / PURCHASER(S)

    MUST COMPLETE

    STREET ADDRESS CITY STATE ZIP CODE

    PHONE NUMBER (DURING THE DAY)

    ( ) - ADDITIONAL OWNERS WILL NEED TO COMPLETE ANOTHER APPLICATION & ATTACH.

    CTY / STATE MOST USED

    LENGTH FT IN

    MAKE OF BOAT MODEL HULL I.D. NUMBER (WILL BE 12 CHARACTERS FOR 1972 ON)

    YEAR

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    IS THIS WATERCRAFT SUBJECT TO SECURITY AGREEMENT(S)?

    YES NO IF YES, COMPLETE INFORMATION BELOW. FUEL TYPE

    ELECTRIC GASOLINE DIESEL

    FIRST SECURED PARTY (PRINT NAME) TIME & DATE OF LOAN : AM PM / /

    NOTE: WHEN THERE IS A LIEN THE TITLE WILL BE SENT TO THE FIRST SECURED PARTY.

    SECTION 2

    LOAN INFORMATION

    MUST COMPLETE

    ADDRESS (NUMBER & STREET, RFD, BOX NUMBER)

    CITY

    STATE

    ZIP CODE

    ASSIGNMENT BY SELLER I / WE THE OWNERS OF THIS WATERCRAFT CERTIFY THE WATERCRAFT IS FREE OF ALL SECURITY INTERESTES, WARRANT TITLE, AND ASSIGN THE TAXES PAID TO THE PERSON(S) NAMED ABOVE.

    TITLE / TRANSFER FEE

    SELLER(S) TRANSFEROR(S) SIGNATURES(S) (ALL SELLERS MUST SIGN) DATE OF SALE

    X___________________________________ _______ X___________________________________ RENEWAL / REGISTRATION (IF DUE)

    STREET ADDRESS

    EXOTIC SPECIALS SURCHARGE (DUE WITH REGISTRATION / RENEWAL ONLY)

    CITY

    VIEWED TAX PAID (DEPUTY REGISTRAR ONLY)

    YES NO DEALER NAME (IF SELLER IS A DEALER) STATE ZIP CODE

    SALES TAX DUE STATE / DEPUTY FILING FEE

    SECTION 3

    SELLERS MUST COMPLETE

    & SIGN

    DEALER PHONE NUMBER

    SECTION 4

    PLEASE PAY

    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 M Y 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.

    SECTION 5

    ALL APPLICANTS

    MUST SIGN

    VALID ONLY WITH DEPUTY REGISTRAR STAMP

    TEMPORARY LICENSE STAMP THE ABOVE NAMED PERSON HAS PAID LICENSE FEE AND THE APPLICATION IS BEING PROCESSED. THIS RECEIPT EXPIRES 21 DAYS FROM DATE OF ISSUE.

    FOR DNR OFFICE USE ONLY FOR VALIDATION AND OFFICE USE ONLY

    0.00

    Will need to print form(s) for signature.

    STATE OF MINNESOTA DEPARTMENT OF NATURAL RESOURCES DIVISION OF FISH & WILDLIFE / LICENSE CENTER 500 LAFAYETTE ROAD SAINT PAUL, MINNESOTA 55155-4026

    LB014-02

    PURCHASER COPY

    WATERCRAFT TITLE & REGISTRATION APPLICATION

    REGISTRATION NUMBER (MUST BE INDICATED)

    EXPIRES LAST DAY OF (MONTH) (YEAR)

    PURCHASE DATE

    STATE WHERE WATERCRAFT LAST TITLED AND REGISTERED OR MSO

    NEW TITLE NUMBER

    LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH / /

    STREET ADDRESS CITY STATE ZIP CODE

    PHONE NUMBER (DURING THE DAY)

    ( ) - LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH

    / /

    SECTION 1

    NEW OWNER(S / PURCHASER(S)

    MUST COMPLETE

    STREET ADDRESS CITY STATE ZIP CODE

    PHONE NUMBER (DURING THE DAY)

    ( ) - ADDITIONAL OWNERS WILL NEED TO COMPLETE ANOTHER APPLICATION & ATTACH.

    CTY / STATE MOST USED

    LENGTH FT IN

    MAKE OF BOAT MODEL HULL I.D. NUMBER (WILL BE 12 CHARACTERS FOR 1972 ON)

    YEAR

    TY

    PE

    OF

    BO

    AT

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    D

    IS THIS WATERCRAFT SUBJECT TO SECURITY AGREEMENT(S)?

    YES NO IF YES, COMPLETE INFORMATION BELOW. FUEL TYPE

    ELECTRIC GASOLINE DIESEL

    FIRST SECURED PARTY (PRINT NAME) TIME & DATE OF LOAN : AM PM / /

    NOTE: WHEN THERE IS A LIEN THE TITLE WILL BE SENT TO THE FIRST SECURED PARTY.

    SECTION 2

    LOAN INFORMATION

    MUST COMPLETE

    ADDRESS (NUMBER & STREET, RFD, BOX NUMBER)

    CITY

    STATE

    ZIP CODE

    ASSIGNMENT BY SELLER I / WE THE OWNERS OF THIS WATERCRAFT CERTIFY THE WATERCRAFT IS FREE OF ALL SECURITY INTERESTES, WARRANT TITLE, AND ASSIGN THE TAXES PAID TO THE PERSON(S) NAMED ABOVE.

    TITLE / TRANSFER FEE

    SELLER(S) TRANSFEROR(S) SIGNATURES(S) (ALL SELLERS MUST SIGN) DATE OF SALE

    X___________________________________ _______ X___________________________________ RENEWAL / REGISTRATION (IF DUE)

    STREET ADDRESS

    EXOTIC SPECIALS SURCHARGE (DUE WITH REGISTRATION / RENEWAL ONLY)

    CITY

    VIEWED TAX PAID (DEPUTY REGISTRAR ONLY)

    YES NO DEALER NAME (IF SELLER IS A DEALER) STATE ZIP CODE

    SALES TAX DUE STATE / DEPUTY FILING FEE

    SECTION 3

    SELLERS MUST COMPLETE

    & SIGN

    DEALER PHONE NUMBER

    SECTION 4

    PLEASE PAY

    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 M Y 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.

    SECTION 5

    ALL APPLICANTS

    MUST SIGN

    VALID ONLY WITH DEPUTY REGISTRAR STAMP

    TEMPORARY LICENSE STAMP THE ABOVE NAMED PERSON HAS PAID LICENSE FEE AND THE APPLICATION IS BEING PROCESSED. THIS RECEIPT EXPIRES 21 DAYS FROM DATE OF ISSUE.

    FOR DNR OFFICE USE ONLY FOR VALIDATION AND OFFICE USE ONLY

    0.00

    Will need to print form(s) for signature.

    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.

    STATE OF MINNESOTA DEPARTMENT OF NATURAL RESOURCES DIVISION OF FISH & WILDLIFE / LICENSE CENTER 500 LAFAYETTE ROAD SAINT PAUL, MINNESOTA 55155-4026

    LB014-02

    DEPARTMENT COPY

    WATERCRAFT TITLE & REGISTRATION APPLICATION

    REGISTRATION NUMBER (MUST BE INDICATED)

    EXPIRES LAST DAY OF (MONTH) (YEAR)

    PURCHASE DATE

    STATE WHERE WATERCRAFT LAST TITLED AND REGISTERED OR MSO

    LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH / /

    STREET ADDRESS CITY STATE ZIP CODE

    PHONE NUMBER (DURING THE DAY)

    ( ) - LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH

    / /

    SECTION 1

    NEW OWNER(S / PURCHASER(S)

    MUST COMPLETE

    STREET ADDRESS CITY STATE ZIP CODE

    PHONE NUMBER (DURING THE DAY)

    ( ) - ADDITIONAL OWNERS WILL NEED TO COMPLETE ANOTHER APPLICATION & ATTACH.

    LENGTH FT IN

    MAKE OF BOAT MODEL HULL I.D. NUMBER (WILL BE 12 CHARACTERS FOR 1972 ON)

    YEAR

    TYP

    E O

    F B

    OA

    T

    CA

    NO

    E

    SA

    IL O

    NLY

    KA

    YA

    K

    PA

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    OA

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    D

    IS THIS WATERCRAFT SUBJECT TO SECURITY AGREEMENT(S)?

    YES NO IF YES, COMPLETE INFORMATION BELOW. FUEL TYPE

    ELECTRIC GASOLINE DIESEL

    FIRST SECURED PARTY (PRINT NAME) TIME & DATE OF LOAN : AM PM / /

    NOTE: WHEN THERE IS A LIEN THE TITLE WILL BE SENT TO THE FIRST SECURED PARTY.

    SECTION 2

    LOAN INFORMATION

    MUST COMPLETE

    ADDRESS (NUMBER & STREET, RFD, BOX NUMBER)

    CITY

    STATE

    ZIP CODE

    ASSIGNMENT BY SELLER I / WE THE OWNERS OF THIS WATERCRAFT CERTIFY THE WATERCRAFT IS FREE OF ALL SECURITY INTERESTES, WARRANT TITLE, AND ASSIGN THE TAXES PAID TO THE PERSON(S) NAMED ABOVE.

    TITLE / TRANSFER FEE

    SELLER(S) TRANSFEROR(S) SIGNATURES(S) (ALL SELLERS MUST SIGN) DATE OF SALE

    X___________________________________ _______ X___________________________________ RENEWAL / REGISTRATION (IF DUE)

    STREET ADDRESS

    EXOTIC SPECIALS SURCHARGE (DUE WITH REGISTRATION / RENEWAL ONLY)

    CITY

    VIEWED TAX PAID (DEPUTY REGISTRAR ONLY)

    YES NO DEALER NAME (IF SELLER IS A DEALER) STATE ZIP CODE

    SALES TAX DUE STATE / DEPUTY FILING FEE

    SECTION 3

    SELLERS MUST COMPLETE

    & SIGN

    DEALER PHONE NUMBER

    SECTION 4

    PLEASE PAY

    TOTAL AMOUNT DUE $

    FOR VALIDATION AND OFFICE USE ONLY

    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 M Y 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.

    SECTION 5

    ALL APPLICANTS

    MUST SIGN

    ALL DATA COLLECTED ON A WATERCRAFT APPLICATION, WITH THE EXCEPTION OF Y OUR HOME TELEPHONE NUMBER, ARE REQUIRED BY LAW. THESE D ATA ARE USED TO IDENTIFY YOUR WATERCRAFT. FA ILURE TO PROVIDE REQUIRED DATA MAY RESULT IN DENIAL OF THE TRANSFER OF OWNERSHIP, REGISTRATION OF THIS WATERCRAFT OR OTHER REQUESTED ACTION. YOUR RECORD IS PUBLIC AND TRANSCRIPTS MAY BE ISSUED TO ANYONE.

    DO NOT SIGN UNTIL COMPLETED

    COUNTY MOST USED

    NEW TITLE NUMBER

    0.00

    Will need to print form(s) for signature.

    STATE OF MINNESOTA DEPARTMENT OF NATURAL RESOURCES DIVISION OF FISH & WILD LIFE / LICENSE CENTER 500 LAFAYETTE ROAD SAINT PAUL, MINNESOTA 55155-4026

    LB014-02

    DEPARTMENT COPY

    WATERCRAFT TITLE & REGISTRATION APPLICATION

    REGISTRATION NUMBER (MUST BE INDICATED)

    EXPIRES LAST DAY OF (MONTH) (YEAR)

    PURCHASE DATE

    STATE WHERE WATERCRAFT LAST TITLED AND REGISTERED OR MSO

    LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH / /

    STREET ADDRESS CITY STATE ZIP CODE

    PHONE NUMBER (DURING THE DAY)

    ( ) - LAST FIRST FULL MIDDLE NAME DRIVERS LICENSE NUMBER DATE OF BIRTH

    / /

    SECTION 1

    NEW OWNER(S / PURCHASER(S)

    MUST COMPLETE

    STREET ADDRESS CITY STATE ZIP CODE

    PHONE NUMBER (DURING THE DAY)

    ( ) - ADDITIONAL OWNERS WILL NEED TO