Mississippi Motor Boat PDF Details

The Mississippi Motor Boat form is a document used to record the sale or transfer of a motorboat. The form must be completed and filed with the Mississippi Department of Wildlife, Fisheries, and Parks within fifteen days of the sale or transfer. The form requires information about the boat such as its name, hull identification number (HIN), type, length, value, and more. Completing and filing the Mississippi Motor Boat form is important to ensure that the sale or transfer of a motorboat is properly recorded.

Here is the data concerning the file you were seeking to fill in. It will show you how much time you will need to complete mississippi motor boat, what fields you need to fill in and several further specific facts.

QuestionAnswer
Form NameMississippi Motor Boat
Form Length2 pages
Fillable?Yes
Fillable fields82
Avg. time to fill out16 min 54 sec
Other namesboat registration in mississippi, printable mississippi boat registration form, boat registration mississippi, mississippi boat registration

Form Preview Example

ALL SHADED AREAS MUST BE COMPLETED SEE BACK FOR INSTRUCTIONS •

FOR OFFICE USE

Date Received: ___________ Payment Type: __________ Payment Amount: $ _________

MS Registration Number

MI-

Less than 16 feet

$10.20

16 to less than 26

$25.20

26 feet and over

$47.70

Dealer number

..............

$40.20

Duplicate

$7.70

 

MISSISSIPPI MOTOR BOAT REGISTRATION APPLICATION

5 ( *,6 75 $ 7,219$ / ,') 25 7+5 ( ( < ( $ 5 6

Individual$ SS FDW RQ

CHECK ONE

oNew Application o Transfer

o Renewal o Duplicate

Provide Proof of Mississippi Sales Tax to accompany all new and used boats purchased from an out-of-state dealer or in-state dealer along with dealer's invoice. Sales tax can be paid at your local tax collector. A copy of a notarized or witnessed bill of sale must accompany all applications, if boat is purchased from an individual. If this boat has been registered in your name in another state, provide a copy of that registration in lieu of a bill of sale. Must provide proof of last registered owner.

Applicant First Name

 

 

 

Middle

 

 

 

Last

 

 

 

Date of Birth

 

 

 

 

 

 

 

 

 

 

 

 

 

Home Phone

Other Phone

 

 

 

 

E-Mail

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address

 

 

City

 

 

State

County

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

Driver’s License # or Social Security #

 

D.L. State

Previous Owner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Co-Owner First Name

Middle

 

 

Last

 

 

 

Date of Birth

Driver’s License # or Social Security #

 

 

 

 

 

 

 

 

 

 

 

 

 

ALL BOATS MUST HAVE A HULL

IDENTIFICATION OR SERIAL NUMBER.

If not, boat must be inspected. Please call your local Regional Office for additional information.

Serial Number or 12 Digit Hull I.D. #

* APPLICANT’S SIGNATURE REQUIRED *

SIGN HERE

Signature Certifies Ownership

Date

By signing this application, I declare under penalties prescribed in the statutes of Mississippi, to the best of my knowledge and belief that I own the vessel described herein and that the description and all matters stated herein are true and correct.

Make of Boat

Boat Model

Model Year

Feet

Inches

Present Registration # on Boat

HULL MATERIAL

PRIMARY OPERATION

PROPULSION

FUEL TYPE

 

TYPE OF VESSEL

Paddlecraft

ENGINE DRIVE

o Fiberglass

o Pleasure

o Air Thrust

o Gasoline

 

o Open Motorboat

o

o

Inboard

o Aluminum

o Rent or Lease

o Manual

o Diesel

 

o Cabin Motorboat

o

Air Boat

o

Outboard

o Wood

o Commercial Fishing

o Propeller

o Electric

 

o Auxiliary Sail

o

Pontoon Boat

o

Pod Drive

o Steel

o Other Cml Operation

o Sail

o Other

 

o Sail Only

o

Inflatable Boat

o

Stern Drive

o Plastic

o Cml Passenger Carry

o Water Jet

 

 

o Personal Watercraft

o

Rowboat

o

Other

o Rubber/

o Dealer or Mfr Demo

o Other

 

 

o House Boat

o

Other

 

 

Vinyl/Canvas

o Agency

 

 

 

 

 

 

 

 

o Other

o Charter Fishing

 

 

 

 

 

 

 

 

 

Saltwater Fishing: q Yes q No

U.S. Citizenship: q Yes

q No

 

 

OPTIONAL INFORMATION

 

Motor Serial Number

 

Manufacturer

Model Year

 

Horse Power

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Motor Serial Number

 

Manufacturer

Model Year

 

Horse Power

 

 

 

 

 

 

 

Trailer Serial Number

Make check or money order payable to MS Dept. of Wildlife, Fisheries, and Parks • Boat Registration Div.• 1505 Eastover Drive • Jackson, MS 39211-6374

#

DETACH AND KEEP WITH VESSEL UNTIL CERTIFICATE NUMBER IS RECEIVED

Name ________________________________________________

Street Address ____________________________________________ City ________________________

State ___________________ Zip Code _____________________

HIN or Serial Number _____________________________________________________________

Make of Boat ______________________________________ Propulsion _________________________________________ Length of Boat ___________________________

I hereby certify on ______________________________ , that I applied for certification of number for above described boat.

Valid for 60 days of issue. Carry on board when the vessel is being operated.

UNDER PENALTY OF PERJURY THIS INFORMATION IS TRUE AND CORRECT. ______________________________________________________________

Revised 09/2016

Signature of Owner

Date

(OVER)

 

 

 

INSTRUCTIONS

1.Type or print in ink, except the signature.

2.Owner of boat must sign this application.

3.All shaded areas must be completed.

4.If vessel is presently numbered, enter number in space provided on front.

5.If vessel is registered in your name in another state, please send copy of registration from that state in lieu of a bill of sale.

All transfer and new boats are processed at MDWFP headquarters ONLY, address listed below.

Return Application with personal check, cashier’s check, or money order with the appropriate fee to the address listed below.

Mississippi Department of Wildlife, Fisheries, and Parks Boat

Registration Division

1505 Eastover Drive • Jackson, MS 39211-6374

FOR YOUR CONVENIENCE, YOU MAY USE THE AREA BELOW

AS A VALID BILL OF SALE WHEN PROPERLY WITNESSED OR NOTARIZED

 

 

 

 

 

Serial Number or 12 Digit Hull ID #

 

Present Registration #

Feet

Inches

 

 

 

 

 

 

 

 

 

Make of Boat

Boat Model

Model Year

 

 

 

 

 

 

Buyer: (Print)

________________

________________

________________

 

Last Name

 

First Name

 

Initial

Seller: (Print)

________________

________________

________________

 

Last Name

 

First Name

 

Initial

Co-Seller: (Print)

________________

________________

________________

 

Last Name

 

First Name

 

Initial

__________________________________

________________

_____

___________

Seller’s Street Address

 

City

State

Zip Code

__________________________________

______

________________________ _________

Seller Signature

Date

Co-Seller Signature

Date

__________________________________

______

________________________ _________

Buyer Signature

Date

Witness Signature

Date

SELLER(S) CERTIFY THAT STATEMENTS PROVIDED ON THE FRONT OF THIS APPLICATION FOR CERTIFICATION

OF REGISTRATION ARE TRUE AND ACCURATE TO THE BEST OF SELLER(S) KNOWLEDGE.

STATE OF: _______________________

COUNTY OF: _______________________

This day personally came and appeared before me, the undersigned stated that all of the matters,

things and facts set forth are true and correct as therein stated.

SWORN TO AND SUBSCRIBED BEFORE ME, this the ______________day of _____________, 20_____

____________________________________________

My Commission expires __________________

Notary Public

#

This Stub is to serve as your receipt until you receive your Certificate of Number. This must be kept with the vessel and available

for inspection by Law Enforcement Officers. Upon payment of fee this stub authorizes use of your vessel. Its validity may be verified at any time by Law Enforcement Officers. Make check or money order payable to the Mississippi Department of Wildlife,

Fisheries, and Parks. Record your check or money order number here ____________________________

Internet Boater Education Course • www.mdwfp.com • $15.00 (Online Fee)

Free 6-Hour Classroom Courses/Contact MDWFP Region Offices;Classes Available April-September

Call 1-888-874-5785 to Subscribe to Mississippi Outdoors Magazine. (this number is for magazine subscription only)

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