Virginia Affidavit for Registering a Motorboat Not Previously Registered

DEPARTMENT OF GAME AND INLAND FISHERIES BOAT REGISTRATION AND TITLING SECTION 4010 W. BROAD ST., PO BOX 11528 RICHMOND, VA 23230 (804) 367-6135

AFFIDAVIT FOR REGISTERING AND TITLING A MOTORBOAT NOT PREVIOUSLY REGISTERED AND/OR TITLED (ORIGINAL OWNER) This affidavit is for use by an applicant who is the original owner of a vessel. If the watercraft was purchased from an individual, please call the number above to request a different form. This affidavit cannot be used if the model year of the vessel to be registered is less than two years old, or if the boat were purchased from a dealership within the past twelve months. If this is the case, you must present an Original Manufacturer’s Statement of Origin or Original Certificate of Title with the Assignment section completed by the dealership.

Description of Watercraft to be registered/titled: Make/Manufacturer: Hull Identification Number: Model Year: Length:

ft.

in.

I/We certify under penalty of perjury that I/we have owned the above-described watercraft since And I/we further declare under penalty of perjury that the watercraft has never been registered or titled in Virginia or any other state for the following reason: The vessel was used only on private waters and was not required to be registered/titled. The vessel was not propelled by machinery and was not required to be registered/titled. The vessel has been homebuilt by me, and copies of receipts for building materials are attached to my application. Other:

(Signature of Applicant)

(Signature of Applicant)

STATE OF VIRGINIA City/County of On this _____ day of ________________________________, 20_____, before me personally appeared the affiant(s)_ signing above, acknowledged and made oath that the matters set forth in the foregoing affidavit are true. X Notary Public

My Commission Expires Seal

PICTURES OF THE BOAT FROM ALL ANGLES MUST BE SUBMITTED WITH APPLICATION NOTE: YOUR WATERCRAFT IS SUBJECT TO INSPECTION BY A VIRGINIA STATE GAME WARDEN.

Newboataff. Revised June 2009

DEPARTMENT OF GAME AND INLAND FISHERIES BOAT REGISTRATION AND TITLING SECTION 4010 W. BROAD ST., PO BOX 11528 RICHMOND, VA 23230 (804) 367-6135

AFFIDAVIT FOR REGISTERING AND TITLING A WATERCRAFT NOT PREVIOUSLY REGISTERED AND/OR TITLED (IF PURCHASED FROM ANOTHER OWNER). It is intended that this affidavit be completed by both the seller and the purchaser of a watercraft in order for the purchaser to obtain a Virginia Watercraft Registration and Title. This affidavit cannot be used if the model year of the vessel to be registered is less than two years old, or if the boat were purchased from a dealership within the past twelve months. If this is the case, you must present an Original Manufacturer’s Statement of Origin or Original Certificate of Title with the Assignment section completed by the dealership. Description of Watercraft to be registered/titled: Make/Manufacturer: Hull Identification Number: Model Year: Length:

ft.

in.

SELLER’S CERTIFICATION: I declare under penalty of perjury that the above-described watercraft was sold by me on ,20___ for $_________. To the best of my knowledge, the watercraft has never been titled or registered in Virginia or any other state. I did not title or register the watercraft because: The vessel was used only on private waters and was not required to be registered/titled. The vessel was not propelled by machinery and was not required to be registered/titled. The vessel was homebuilt by me. I have attached copies of receipts for building materials if available. Other: Seller’s Signature

Date

PURCHASER’S CERTIFICATION: I declare under penalty of perjury that to the best of my knowledge, the above certification made by the seller of the watercraft is true and correct OR if the seller is unavailable, I have made all efforts to contact the seller to have this Affidavit completed by him/her. To the best of my knowledge, this watercraft does not display registration numbers assigned by the State of Virginia or any other state and to my knowledge, the watercraft has never been titled or registered in Virginia or any other state.

Purchaser’s Signature

Purchaser’s Signature

STATE OF VIRGINIA City/County of: On this _____day of _________________________, 20_____, before me personally appeared the affiant(s) signing above, acknowledged and made oath that the matters set forth in the foregoing affidavit are true. X Notary Public

My Commission Expires Seal

PICTURES OF THE BOAT FROM ALL ANGLES MUST BE SUBMITTED WITH APPLICATION NOTE: YOUR WATERCRAFT IS SUBJECT TO INSPECTION BY A VIRGINIA STATE GAME WARDEN. Newboataff. Revised June 2009