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Mariner 3

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Please enter your hull identification number

You may find it at the bottom of the capacity label on the stern of the boat.

Example: CN-XEE 12345J405


{{formValidation.message}}

MANUFACTURER'S CERTIFICATE OF ORIGIN FOR A BOAT


DESCRIPTION OF BOAT

Hull ID: XEE-{{form.hullID}}    
Trade Name: {{boatCertificateData.trade_name}} Model Name: {{boatCertificateData.model_name}}
Hull Material: {{boatCertificateData.hull_material}} Type of Boat: {{boatCertificateData.type_of_boat}}
Propulsion: {{boatCertificateData.propulsion}} Fuel: {{boatCertificateData.fuel}}
Length (L): {{boatCertificateData.length}} BEAM (W): {{boatCertificateData.beam}} DRAFT (H): {{boatCertificateData.draft}}

U.S. Coast Guard Capacity Plate Information (where applicable):

  • Maximum Horsepower Rating: {{boatCertificateData.max_horsepower_rating}} HP
  • Maximum Persons Capacity in Whole Persons: {{boatCertificateData.max_persons_capacity}}
  • Maximum Weight Capacity (persons, motor, gear, etc): {{boatCertificateData.max_weight_capacity_lbs}} LBS

Place of Construction:      {{boatCertificateData.place_of_construction}}


The manufacturer further certifies that this was the first transfer of such new boat, and that all information given herein is true and accurate to the best of his knowledge.

Company Name: Intex Recreation Corp.
Street Address: 4001 Via Oro Ave., Suite 210
City, State, Zip: Long Beach CA 90810
Intex logo

Manufacturer's Certification

Intex signature

Authorized Signature

ASSISTANT GENERAL MANAGER
Title Or Position

FIRST ASSIGNMENT


For Value Received, the undersigned hereby transfers this Statement of Origin and the boat described therein to:

Name:
 
Address:
 

and certifies that the boat is new and has not been registered in this or any other state; he also warrants the title of said boat at time of delivery, subject to the liens and encumbrances, if any, as set below:

Amount of Lien Date To Whom Due Address

 

 

 

 
Dated
 
,20
 
at
 
 

Transferer (Firm Name)

 

Sign Here

 

Position

 

SECOND ASSIGNMENT


For Value Received, the undersigned hereby transfers this Statement of Origin and the boat described therein to:

Name:
 
Address:
 

and certifies that the boat is new and has not been registered in this or any other state; he also warrants the title of said boat at time of delivery, subject to the liens and encumbrances, if any, as set below:

Amount of Lien Date To Whom Due Address

 

 

 

 
Dated
 
,20
 
at
 
 

Transferer (Firm Name)

 

Sign Here

 

Position