Form Pfbc 732 – Fill Out and Use This PDF

PFBC-732 (07/10)

Pennsylvania Fish & Boat Commission	PA Boat Registration Number
Licensing & Registration Section
PO Box 68900 ● Harrisburg, PA 17106-8900
717-705-7940 ● Fax: 717-705-7931

Change of Address, Status or Request for Duplicate Certificate of Registration

1. Reason for submitting this form (check one)

A.	My boat is:	□ Lost	□ Stolen	□ Destroyed	□ Recovered	Date of Incident: _______/_______/_______
B.	□ Change of Address (all owners must sign this form)
C.	□ Change of Name due to:		□ Marriage	□ Divorce	□ Court Order	□ Other
D.	□ Request for Duplicate Certificate of Registration ($3 fee)				□ Check block to include stickers

E.□ Change is State of Principal Use

F.□ Boat Sold. Untitled boats only. All owners must sign this form.

G.□ Change Boat Information. Untitled boats only.

H.□ Traded-In to dealer (all owners must sign this form). Untitled boats only.

2. Boat Information (see coding on reverse side)

	Make of Boat:			Model Name/Number:					Year Built:
	Hull Identification Number:
	Boat Type		Boat Length	Hull Material		Propulsion		Fuel		Use
		Feet:	Inches:
	3. Name/Address of Registered Owner						4. Name/Address of Co-Owner
	Name:					Name:
	Address:					Address:
	City, State, Zip:					City, State, Zip:
	Phone Number:					Phone Number:
	E-mail:					E-Mail:

5. New Name or Address (not for transfer of ownership)

New Name:

Address:

City, State, Zip:

Email Address:

Phone Number:

(optional)

Email Address for Commission use only. Your information will not become public knowledge.

6. Signatures

I/We certify under penalty of law (18 Pa C.S. 4904 (relating to unsworn falsification to authorities)) that the statements made herein are true and correct to the best of my/our knowledge, information and belief.

Signature of Registered Owner		Date
Signature of Registered Co-Owner		Date
	Instructions on reverse side

INSTRUCTIONS FOR COMPLETING THIS FORM

1.Check reason for submitting this form.

2.Boat Information – enter the correct information for the boat for which this form is being submitted.

3.Enter the name and address of the registered owner as it appears on the current registration card.

4.Fill in the necessary information for any co-owner of this boat.

5.New Name or Address – insert the new name or address. Not to be used for transfer of ownership.

6.Signatures – All owners of this boat must sign this form before any action will be taken by the Fish & Boat Commission.

Section 2 – Boat Data: Enter the appropriate boat code numbers shown below on form:

							Hull
	Boat Type			Code #						Code #			Prop Type			Code #			Fuel Type			Code #			Use			Code #
							Material
	Other		0				Wood		1				Outboard		1				Gas		1				Pleasure		1
	Runabout		1				Aluminum		2				Inboard		2				Diesel		2				Commercial		2
																									Passenger
	Rowboat/Utility		2				Steel		3				I/O		3				Electric		3				Livery/Rental		3
	Cabin		3				Fiberglass		4				Unpowered		4				None		4				Commercial		4
																									Fishing
	House/Pontoon		4				Inflatable		5																Dealer/Jobber		5
	Sail		5				Other		6																Commercial		6
																									Other
	Auxiliary		6																						Tax Exempt		7
																									Organization
	Canoe		7																						Other		8
	Racing		8																						State Owned		9
	Personal		9																						Documented		10
	Watercraft
								SIGN, DATE AND RETURN COMPLETED FORM TO:

PENNSYLVANIA FISH & BOAT COMMISSION

LICENSING & REGISTRATION SECTION

PO BOX 68900

HARRISBURG, PA 17106-8900

If you have any questions about the use of this form, please call the Licensing & Registration office at:

(717)705-7940

Monday through Friday

8:00 AM to 4:00 PM

Visit the Commission’s web site: www.fishandboat.com