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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
NO
E
SAIL
ON
LY
KAYA
K
PAD
DLE
BOAT
PON
TOO
N
RO
WB
OAT
OPE
N M
OTO
RBO
AT
CAB
IN M
OTO
RBO
AT
HO
US
EBO
AT
SA
ILB
OAR
D (W
IND
SUR
FER
)
INFL
ATAB
LE
RO
WIN
G S
HE
LL
PER
SON
AL
WAT
ERC
RAF
T
AUXI
LIAR
Y S
AIL
OTH
ER
TYPE
OF
USE
PLEA
SUR
E
RE
NTA
L O
R L
EA
SE
CH
AR
TER
FIS
HIN
G
NO
N-P
RO
FIT
CO
MM
ER
CIA
L FI
SH
ING
CO
MM
. PA
SS
. CAR
RY
ING
OTH
ER
CO
MM
. OPE
RAT
ION
HU
LL M
ATE
RIA
L
WO
OD
ALU
MIN
UM
STE
EL
FIBE
RG
LASS
VIN
YL
/ RU
BBE
R /
CAN
VAS
RIG
ID H
ULL
INFL
ATA
BLE
S
OTH
ER
PRO
PULS
ION
PR
OP
ELL
ER
SAIL
WAT
ER J
ET
AIR
TH
RU
ST
MAN
UAL
ENG
INE
DR
IVE
TYPE
INBO
ARD
OU
TBO
ARD
INBO
ARD
/ ST
ERN
DR
IVE
NO
N-M
OTO
RIZ
ED
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 & 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
DD
LEB
OA
T
PO
NTO
ON
RO
WB
OA
T
OP
EN
MO
TOR
BO
AT
CA
BIN
MO
TOR
BO
AT
HO
US
EB
OA
T
SA
ILB
OA
RD
(WIN
DS
UR
FER
)
INFL
ATA
BLE
RO
WIN
G S
HE
LL
PE
RS
ON
AL
WA
TE
RC
RA
FT
AU
XIL
IAR
Y S
AIL
OTH
ER
TYP
E O
F U
SE
PLE
AS
UR
E
RE
NTA
L O
R L
EA
SE
CH
AR
TER
FIS
HIN
G
NO
N-P
RO
FIT
CO
MM
ER
CIA
L FI
SH
ING
CO
MM
. P
AS
S. C
AR
RY
ING
OTH
ER
CO
MM
. OP
ER
ATI
ON
HU
LL M
ATE
RIA
L
WO
OD
ALU
MIN
UM
STE
EL
FIB
ER
GLA
SS
VIN
YL
/ RU
BB
ER
/ C
AN
VA
S
RIG
ID H
ULL
INFL
ATA
BLE
S
OTH
ER
PRO
PULS
ION
PR
OP
ELL
ER
SA
IL
WA
TER
JE
T
AIR
TH
RU
ST
MA
NU
AL
ENG
INE
DR
IVE
TYPE
INB
OA
RD
OU
TBO
AR
D
INB
OA
RD
/ S
TER
N D
RIV
E
NO
N-M
OTO
RIZ
ED
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
TYP
E O
F B
OA
T
CA
NO
E
SA
IL O
NLY
KA
YA
K
PA
DD
LEB
OA
T
PO
NTO
ON
RO
WB
OA
T
OP
EN
MO
TOR
BO
AT
CA
BIN
MO
TOR
BO
AT
HO
US
EB
OA
T
SA
ILB
OA
RD
(WIN
DS
UR
FER
)
INFL
ATA
BLE
RO
WIN
G S
HE
LL
PE
RS
ON
AL
WA
TE
RC
RA
FT
AU
XIL
IAR
Y S
AIL
OTH
ER
TYP
E O
F U
SE
PLE
AS
UR
E
RE
NTA
L O
R L
EA
SE
CH
AR
TER
FIS
HIN
G
NO
N-P
RO
FIT
CO
MM
ER
CIA
L FI
SH
ING
CO
MM
. P
AS
S. C
AR
RY
ING
OTH
ER
CO
MM
. OP
ER
ATI
ON
HU
LL M
ATE
RIA
L
WO
OD
ALU
MIN
UM
STE
EL
FIB
ER
GLA
SS
VIN
YL
/ RU
BB
ER
/ C
AN
VA
S
RIG
ID H
ULL
INFL
ATA
BLE
S
OTH
ER
PRO
PULS
ION
PR
OP
ELL
ER
SA
IL
WA
TER
JE
T
AIR
TH
RU
ST
MA
NU
AL
ENG
INE
DR
IVE
TYPE
INB
OA
RD
OU
TBO
AR
D
INB
OA
RD
/ S
TER
N D
RIV
E
NO
N-M
OTO
RIZ
ED
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
TYP
E O
F B
OA
T
CA
NO
E
SA
IL O
NLY
KA
YA
K
PA
DD
LEB
OA
T
PO
NTO
ON
RO
WB
OA
T
OP
EN
MO
TOR
BO
AT
CA
BIN
MO
TOR
BO
AT
HO
US
EB
OA
T
SA
ILB
OA
RD
(WIN
DS
UR
FER
)
INFL
ATA
BLE
RO
WIN
G S
HE
LL
PE
RS
ON
AL
WA
TE
RC
RA
FT
AU
XIL
IAR
Y S
AIL
OTH
ER
TYP
E O
F U
SE
PLE
AS
UR
E
RE
NTA
L O
R L
EA
SE
CH
AR
TER
FIS
HIN
G
NO
N-P
RO
FIT
CO
MM
ER
CIA
L FI
SH
ING
CO
MM
. P
AS
S. C
AR
RY
ING
OTH
ER
CO
MM
. OP
ER
ATI
ON
HU
LL M
ATE
RIA
L
WO
OD
ALU
MIN
UM
STE
EL
FIB
ER
GLA
SS
VIN
YL
/ RU
BB
ER
/ C
AN
VA
S
RIG
ID H
ULL
INFL
ATA
BLE
S
OTH
ER
PRO
PULS
ION
PR
OP
ELL
ER
SA
IL
WA
TER
JE
T
AIR
TH
RU
ST
MA
NU
AL
ENG
INE
DR
IVE
TYPE
INB
OA
RD
OU
TBO
AR
D
INB
OA
RD
/ S
TER
N D
RIV
E
NO
N-M
OTO
RIZ
ED
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
TYP
E O
F B
OA
T
CA
NO
E
SA
IL O
NLY
KA
YA
K
PA
DD
LEB
OA
T
PO
NTO
ON
RO
WB
OA
T
OP
EN
MO
TOR
BO
AT
CA
BIN
MO
TOR
BO
AT
HO
US
EB
OA
T
SA
ILB
OA
RD
(WIN
DS
UR
FER
)
INFL
ATA
BLE
RO
WIN
G S
HE
LL
PE
RS
ON
AL
WA
TE
RC
RA
FT
AU
XIL
IAR
Y S
AIL
OTH
ER
TYP
E O
F U
SE
PLE
AS
UR
E
RE
NTA
L O
R L
EA
SE
CH
AR
TER
FIS
HIN
G
NO
N-P
RO
FIT
CO
MM
ER
CIA
L FI
SH
ING
CO
MM
. P
AS
S. C
AR
RY
ING
OTH
ER
CO
MM
. OP
ER
ATI
ON
HU
LL M
ATE
RIA
L
WO
OD
ALU
MIN
UM
STE
EL
FIB
ER
GLA
SS
VIN
YL
/ RU
BB
ER
/ C
AN
VA
S
RIG
ID H
ULL
INFL
ATA
BLE
S
OTH
ER
PRO
PULS
ION
PR
OP
ELL
ER
SA
IL
WA
TER
JE
T
AIR
TH
RU
ST
MA
NU
AL
ENG
INE
DR
IVE
TYPE
INB
OA
RD
OU
TBO
AR
D
INB
OA
RD
/ S
TER
N D
RIV
E
NO
N-M
OTO
RIZ
ED
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
TYPE
OF
BO
AT
CA
NO
E
SAIL
ON
LY
KAYA
K
PAD
DLE
BOAT
PON
TOO
N
RO
WB
OAT
OPE
N M
OTO
RBO
AT
CAB
IN M
OTO
RBO
AT
HO
US
EBO
AT
SA
ILB
OAR
D (W
IND
SUR
FER
)
INFL
ATAB
LE
RO
WIN
G S
HE
LL
PER
SON
AL
WAT
ERC
RAF
T
AUXI
LIAR
Y S
AIL
OTH
ER
TYPE
OF
USE
PLEA
SUR
E
RE
NTA
L O
R L
EA
SE
CH
AR
TER
FIS
HIN
G
NO
N-P
RO
FIT
CO
MM
ER
CIA
L FI
SH
ING
CO
MM
. PA
SS
. CAR
RY
ING
OTH
ER
CO
MM
. OPE
RAT
ION
HU
LL M
ATE
RIA
L
WO
OD
ALU
MIN
UM
STE
EL
FIBE
RG
LASS
VIN
YL
/ RU
BBE
R /
CAN
VAS
RIG
ID H
ULL
INFL
ATA
BLE
S
OTH
ER
PRO
PULS
ION
PR
OP
ELL
ER
SAIL
WAT
ER J
ET
AIR
TH
RU
ST
MAN
UAL
ENG
INE
DR
IVE
TYPE
INBO
ARD
OU
TBO
ARD
INBO
ARD
/ ST
ERN
DR
IVE
NO
N-M
OTO
RIZ
ED
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 COMPLETE ANOTHER APPLICATION & ATTACH.
LENGTH FT IN
MAKE OF BOAT MODEL HULL I.D. NUMBER (WILL BE 12 CHARACTERS FOR 1972 ON)
YEAR
TY
PE
OF
BO
AT
CAN
OE
SAIL
ON
LY
KAYA
K
PAD
DLE
BOA
T
PON
TOO
N
ROW
BOA
T
OPE
N M
OTO
RBO
AT
CABI
N M
OTO
RBO
AT
HO
USE
BOA
T
SAIL
BOA
RD (W
IND
SURF
ER)
INFL
ATA
BLE
ROW
ING
SH
ELL
PERS
ON
AL
WA
TERC
RAFT
AU
XILI
ARY
SA
IL
OTH
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TY
PE
OF
US
E
PLEA
SURE
REN
TAL
OR
LEA
SE
CHA
RTER
FIS
HIN
G
NO
N-P
ROFI
T
COM
MER
CIA
L FI
SHIN
G
COM
M. P
ASS
. CA
RRYI
NG
OTH
ER
CO
MM
. OPE
RATI
ON
HU
LL
MA
TE
RIA
L
WO
OD
ALU
MIN
UM
STEE
L
FIBE
RGLA
SS
VIN
YL /
RUBB
ER /
CAN
VAS
RIG
ID H
ULL
INFL
ATA
BLES
OTH
ER
PR
OP
UL
SIO
N
PRO
PELL
ER
SAIL
WA
TER
JET
AIR
TH
RUST
MA
NU
AL
EN
GIN
E D
RIV
E T
YP
E
INBO
ARD
OU
TBO
ARD
INBO
ARD
/ ST
ERN
DRI
VE
NO
N-M
OTO
RIZE
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 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
E
SAIL
ON
LY
KAYA
K
PAD
DLE
BOAT
PON
TOO
N
RO
WB
OAT
OPE
N M
OTO
RBO
AT
CAB
IN M
OTO
RBO
AT
HO
US
EBO
AT
SA
ILB
OAR
D (W
IND
SUR
FER
)
INFL
ATAB
LE
RO
WIN
G S
HE
LL
PER
SON
AL
WAT
ERC
RAF
T
AUXI
LIAR
Y S
AIL
OTH
ER
TYPE
OF
USE
PLEA
SUR
E
RE
NTA
L O
R L
EA
SE
CH
AR
TER
FIS
HIN
G
NO
N-P
RO
FIT
CO
MM
ER
CIA
L FI
SH
ING
CO
MM
. PA
SS
. CAR
RY
ING
OTH
ER
CO
MM
. OPE
RAT
ION
HU
LL M
ATE
RIA
L
WO
OD
ALU
MIN
UM
STE
EL
FIBE
RG
LASS
VIN
YL
/ RU
BBE
R /
CAN
VAS
RIG
ID H
ULL
INFL
ATA
BLE
S
OTH
ER
PRO
PULS
ION
PR
OP
ELL
ER
SAIL
WAT
ER J
ET
AIR
TH
RU
ST
MAN
UAL
ENG
INE
DR
IVE
TYPE
INBO
ARD
OU
TBO
ARD
INBO
ARD
/ ST
ERN
DR
IVE
NO
N-M
OTO
RIZ
ED
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.
LB014-03LB014-04LB014-05
TYPE
OF
BOAT
CANO
E
SAIL
ONL
Y
KAYA
K
PADD
LEBO
AT
PONT
OO
N
ROW
BOAT
PADD
LEBO
ARD
AIRB
OAT
OPE
N M
OTO
RBOA
T
CABI
N M
OTO
RBOA
T
HOUS
EBOA
T
SAIL
BOAR
D (W
INDS
URFE
R)
INFL
ATAB
LE
ROW
ING
SHE
LL
PERS
ONA
L W
ATER
CRAF
T
AUXI
LLAR
Y SA
IL
OTHE
R
TYPE
OF
USE
PLEA
SURE
RENT
AL O
R LE
ASE
CHAR
TER
FISH
ING
NON-
PRO
FIT
COM
MER
CIAL
FIS
HING
COM
M. P
ASS.
CAR
RYIN
G
OTHE
R
COM
M. O
PERA
TIO
N
HULL
MAT
ERIA
L
WO
OD
ALUM
INUM
STEE
L
FIBE
RGLA
SS
PLAS
TIC
VINY
L / R
UBBE
R / C
ANVA
S
RIG
ID H
ULL
INFL
ATAB
LE
OTHE
R
PRO
PULS
ION
PRO
PELL
ER
SAIL
WAT
ER J
ET
AIR
THRU
ST
MAN
UAL
OTHE
R
ENG
INE
DRIV
E TY
PE
INBO
ARD
OUT
BOAR
D
POD
DRIV
E
INBO
ARD
/ STE
RN D
RIVE
NON-
MOT
ORI
ZED
OTHE
R
FUEL
TYP
E
GAS
OLI
NE
DIES
EL
ELEC
TRIC
OTHE
R
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
DD
LEB
OA
T
PO
NT
OO
N
RO
WB
OA
T
OP
EN
MO
TO
RB
OA
T
CA
BIN
MO
TO
RB
OA
T
HO
US
EB
OA
T
SA
ILB
OA
RD
(W
IND
SU
RF
ER
)
INF
LAT
AB
LE
RO
WIN
G S
HE
LL
PE
RS
ON
AL
WA
TE
RC
RA
FT
AU
XIL
IAR
Y S
AIL
OT
HE
R
TYP
E O
F U
SE
PLE
AS
UR
E
RE
NT
AL
OR
LE
AS
E
CH
AR
TE
R F
ISH
ING
NO
N-P
RO
FIT
CO
MM
ER
CIA
L F
ISH
ING
CO
MM
. PA
SS
. CA
RR
YIN
G
OT
HE
R
CO
MM
. OP
ER
AT
ION
HU
LL M
ATE
RIA
L
WO
OD
ALU
MIN
UM
ST
EE
L
FIB
ER
GLA
SS
VIN
YL
/ RU
BB
ER
/ C
AN
VA
S
RIG
ID H
ULL
INF
LAT
AB
LES
OT
HE
R
PR
OP
ULS
ION
PR
OP
ELL
ER
SA
IL
WA
TE
R J
ET
AIR
TH
RU
ST
MA
NU
AL
EN
GIN
E D
RIV
E T
YP
E
INB
OA
RD
OU
TB
OA
RD
INB
OA
RD
/ S
TE
RN
DR
IVE
NO
N-M
OT
OR
IZE
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 & 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
NLY
KA
YA
K
PA
DD
LEB
OA
T
PO
NT
OO
N
RO
WB
OA
T
OP
EN
MO
TO
RB
OA
T
CA
BIN
MO
TO
RB
OA
T
HO
US
EB
OA
T
SA
ILB
OA
RD
(W
IND
SU
RF
ER
)
INF
LAT
AB
LE
RO
WIN
G S
HE
LL
PE
RS
ON
AL
WA
TE
RC
RA
FT
AU
XIL
IAR
Y S
AIL
OT
HE
R
TY
PE
OF
US
E
PLE
AS
UR
E
RE
NT
AL
OR
LE
AS
E
CH
AR
TE
R F
ISH
ING
NO
N-P
RO
FIT
CO
MM
ER
CIA
L F
ISH
ING
CO
MM
. P
AS
S. C
AR
RY
ING
OT
HE
R
CO
MM
. OP
ER
AT
ION
HU
LL
MA
TE
RIA
L
WO
OD
ALU
MIN
UM
ST
EE
L
FIB
ER
GLA
SS
VIN
YL
/ RU
BB
ER
/ C
AN
VA
S
RIG
ID H
ULL
INF
LAT
AB
LES
OT
HE
R
PR
OP
UL
SIO
N
PR
OP
ELL
ER
SA
IL
WA
TE
R J
ET
AIR
TH
RU
ST
MA
NU
AL
EN
GIN
E D
RIV
E T
YP
E
INB
OA
RD
OU
TB
OA
RD
INB
OA
RD
/ S
TE
RN
DR
IVE
NO
N-M
OT
OR
IZE
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.
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
NLY
KA
YA
K
PA
DD
LEB
OA
T
PO
NT
OO
N
RO
WB
OA
T
OP
EN
MO
TO
RB
OA
T
CA
BIN
MO
TO
RB
OA
T
HO
US
EB
OA
T
SA
ILB
OA
RD
(W
IND
SU
RF
ER
)
INF
LAT
AB
LE
RO
WIN
G S
HE
LL
PE
RS
ON
AL
WA
TE
RC
RA
FT
AU
XIL
IAR
Y S
AIL
OT
HE
R
TY
PE
OF
US
E
PLE
AS
UR
E
RE
NT
AL
OR
LE
AS
E
CH
AR
TE
R F
ISH
ING
NO
N-P
RO
FIT
CO
MM
ER
CIA
L F
ISH
ING
CO
MM
. P
AS
S. C
AR
RY
ING
OT
HE
R
CO
MM
. OP
ER
AT
ION
HU
LL
MA
TE
RIA
L
WO
OD
ALU
MIN
UM
ST
EE
L
FIB
ER
GLA
SS
VIN
YL
/ RU
BB
ER
/ C
AN
VA
S
RIG
ID H
ULL
INF
LAT
AB
LES
OT
HE
R
PR
OP
UL
SIO
N
PR
OP
ELL
ER
SA
IL
WA
TE
R J
ET
AIR
TH
RU
ST
MA
NU
AL
EN
GIN
E D
RIV
E T
YP
E
INB
OA
RD
OU
TB
OA
RD
INB
OA
RD
/ S
TE
RN
DR
IVE
NO
N-M
OT
OR
IZE
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.
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
NLY
KA
YA
K
PA
DD
LEB
OA
T
PO
NT
OO
N
RO
WB
OA
T
OP
EN
MO
TO
RB
OA
T
CA
BIN
MO
TO
RB
OA
T
HO
US
EB
OA
T
SA
ILB
OA
RD
(W
IND
SU
RF
ER
)
INF
LAT
AB
LE
RO
WIN
G S
HE
LL
PE
RS
ON
AL
WA
TE
RC
RA
FT
AU
XIL
IAR
Y S
AIL
OT
HE
R
TY
PE
OF
US
E
PLE
AS
UR
E
RE
NT
AL
OR
LE
AS
E
CH
AR
TE
R F
ISH
ING
NO
N-P
RO
FIT
CO
MM
ER
CIA
L F
ISH
ING
CO
MM
. P
AS
S. C
AR
RY
ING
OT
HE
R
CO
MM
. OP
ER
AT
ION
HU
LL
MA
TE
RIA
L
WO
OD
ALU
MIN
UM
ST
EE
L
FIB
ER
GLA
SS
VIN
YL
/ RU
BB
ER
/ C
AN
VA
S
RIG
ID H
ULL
INF
LAT
AB
LES
OT
HE
R
PR
OP
UL
SIO
N
PR
OP
ELL
ER
SA
IL
WA
TE
R J
ET
AIR
TH
RU
ST
MA
NU
AL
EN
GIN
E D
RIV
E T
YP
E
INB
OA
RD
OU
TB
OA
RD
INB
OA
RD
/ S
TE
RN
DR
IVE
NO
N-M
OT
OR
IZE
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.
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
NLY
KA
YA
K
PA
DD
LEB
OA
T
PO
NT
OO
N
RO
WB
OA
T
OP
EN
MO
TO
RB
OA
T
CA
BIN
MO
TO
RB
OA
T
HO
US
EB
OA
T
SA
ILB
OA
RD
(W
IND
SU
RF
ER
)
INF
LAT
AB
LE
RO
WIN
G S
HE
LL
PE
RS
ON
AL
WA
TE
RC
RA
FT
AU
XIL
IAR
Y S
AIL
OT
HE
R
TY
PE
OF
US
E
PLE
AS
UR
E
RE
NT
AL
OR
LE
AS
E
CH
AR
TE
R F
ISH
ING
NO
N-P
RO
FIT
CO
MM
ER
CIA
L F
ISH
ING
CO
MM
. P
AS
S. C
AR
RY
ING
OT
HE
R
CO
MM
. OP
ER
AT
ION
HU
LL
MA
TE
RIA
L
WO
OD
ALU
MIN
UM
ST
EE
L
FIB
ER
GLA
SS
VIN
YL
/ RU
BB
ER
/ C
AN
VA
S
RIG
ID H
ULL
INF
LAT
AB
LES
OT
HE
R
PR
OP
UL
SIO
N
PR
OP
ELL
ER
SA
IL
WA
TE
R J
ET
AIR
TH
RU
ST
MA
NU
AL
EN
GIN
E D
RIV
E T
YP
E
INB
OA
RD
OU
TB
OA
RD
INB
OA
RD
/ S
TE
RN
DR
IVE
NO
N-M
OT
OR
IZE
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
DD
LEB
OA
T
PO
NT
OO
N
RO
WB
OA
T
OP
EN
MO
TO
RB
OA
T
CA
BIN
MO
TO
RB
OA
T
HO
US
EB
OA
T
SA
ILB
OA
RD
(W
IND
SU
RF
ER
)
INF
LAT
AB
LE
RO
WIN
G S
HE
LL
PE
RS
ON
AL
WA
TE
RC
RA
FT
AU
XIL
IAR
Y S
AIL
OT
HE
R
TYP
E O
F U
SE
PLE
AS
UR
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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 $
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