Anchors Away Documentation
Application Inquiry Only

Please provide as much information as is available at this point. If this this an inquiry only, please provide information noted with an asterisk (*).

Today's Date_______________ Approx. Closing Date:____________

Your name:___________________________________________

Best way to reach you:________________________________________

VESSEL INFORMATION:

Yr/Make/Model/Length:_______________________________________________

Hull Identification #:____________________________________________

If previously Coast Guard Documented, Official #:_________________

If previously State Title/registered, Title#:_____________________

Current Boat Name:_________________________________________________

If purchased through a broker, name/contact info:

___________________________________________________________________

Sellers Name and contact information:_______________________________

____________________________________________________________________

NAME AND ADDRESS, AS YOU WISH TO TAKE OWNERSHIP:

* 1st owner:________________________________________________

Social Security #_______________/ Date of Birth_____________

* 2nd owner:______________________________/

Social Security #_______________/Date of Birth_____________

Corp./LLC/Trust/Partnership name:________________________________________

Address:_____________________ __ Mailing Address, if different:
_______________________________ __________________________________
_______________________________ __________________________________

PLEASE CHOOSE ONE OF THE FOLLOWING:

*Do you wish to: Coast Guard Document or Title/Register

(IF YOU REQUIRE ANCHORS AWAY VESSEL DOCUMENTATION TO SET UP A CORPORATION/LLC/PARTNERSHIP/FOREIGN CORPORATION(BVI,CAYMAN,MARSHALL ISLANDS,DELAWARE) PLEASE CALL OR E-MAIL FOR FURTHER INFORMATION)

*Will you Finance any portion of this purchase?: YES NO

*Is there a trailer?: Yes

:If yes, please describe:

*Is there a dinghy?: Yes

:If yes, please describe:

*Where will you be keeping your vessel:_____________________________
Will the vessel be used for recreational purposes only: Yes

COAST GUARD DOCUMENTATION ONLY: WE WILL ONLY REQUIRE THE FOLLOWING INFORMATION IF YOU ARE COAST GUARD DOCUMENTING:

Vessel to be Named____________________________________

Hailing Port: ________________________________________

Owner #1: U.S. Citizen? Yes No

Owner #2: U.S. Citizen? Yes No

Engines Information: Builder________________ Inbd Outbd HSP _______

Serial #: (port)___________________ (Starboard) __________________________