VESSEL BILL OF SALE 1-17-12 - Wildlife Resources Division

[Pages:1]GEORGIA CERTIFIED TRUE BILL OF SALE FOR VESSEL

NOTE: ERASURES OR ALTERATION VOID THIS BILL OF SALE

DESCRIPTION OF VESSEL ? All Information about boat must be completed

GA REGISTRATION NUMBER

MAKE & MODEL OF BOAT

YEAR BUILT

GA-

HULL IDENTIFICATION NUMBER (No HIN for vessel built before 1972)

OUT OF STATE REGISTRATION NUMBER

LENGTH

FT

IN

HULL MATERIAL

If Outboard Motor: Outboard 25 HP or Less or Outboard(s) Larger than 25 HP Outboard motors over 25 hp must be listed: Serial Number _________________________Make ________________________HP______ Serial Number _________________________Make ________________________HP______ Serial Number _________________________Make ________________________HP______ Serial Number _________________________Make ________________________HP______

IS THERE A LIEN ON THIS VESSEL? Yes NO If Yes, complete the following information.

Date of Lien___/___/_____ Lien Holder Name / Company_________________________________________________________

Lienholder Address_______________________________________________________________________________________ DOES THIS VESSEL HAVE HULL DAMAGE? Yes NO "Hull damaged" means compromised with respect to the integrity of a vessel's hull by a collision, allision, lightning strike, fire, explosion, running aground, or similar occurrence that creates a significant risk to the integrity of the vessel's hull.

I ____________________________ of _________________________________________________ hereby

Seller

Address of Seller

sell on __________ ___________ ____________ to _____________________________________

Month

Day

Year

Name of Purchaser

of __________________________________________________________ the above Vessel.

Address of Purchaser

1. I certify this property is free of any liens or adverse claims and all personal property taxes have been paid to date. I understand that current year property taxes are the responsibility of the seller(s), unless an otherwise enforceable agreement has been reached between the seller and buyer. 2. I understand the vessel registration card and / or transferred paper title (if exists) must accompany transfer of ownership for vessels previously registered within any state. Specifically, if vessel is from a title state the original title must be submitted to transfer ownership of vessel.

Seller must notify GADNR within 15 days of any change in ownership of GA registered vessel, furnishing full information. O.C.G.A. 52-7-5(j).

Report sold in customer account at , or call 706-664-0037 and press #1 (avail 24/7).

FAILURE TO NOTIFY GADNR OF SALE/TRANSACTION CAN RESULT IN THE CONTINUED PERSONAL PROPERTY TAX ASSESSMENTS TO THE OWNER OF RECORD.

O.C.G.A. 16-10-20: "A person who knowingly and willingly makes a false, fictitious or fraudulent statement...in any matter within the jurisdiction of any department or agency of state government...shall, upon conviction thereof, be punished by a fine of not more than $1000 or by imprisonment for not less than one nor more than five years, or both."

_________________________________________

Signature of Seller

_________________________________________

Signature of Co-Seller

________________________________________

Signature of Buyer

_________________________________________

Signature of Co-Buyer

Buyer can upload Bill of Sale & other documents for a pending vessel registration in their account at

or send by Email: documents@, Fax: (678) 515-9470, or Mail: GADNR, PO Box 934943, Atlanta, GA 31193-4943

DNR LBRU Revised 7-22-2020

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