Boat Registration Form (B-240) - Maryland Dnr
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2STATE OF MARYLAND — DEPARTMENT OF NATURAL RESOURCES
APPLICATION FOR: (CHECK ONE)
MD
MARYLAND REGISTERED VESSEL
TITLE & REGISTRATION
TITLE ONLY
REGISTRATION ONLY
USCG
TAX PAYMENT & DECAL
DECAL ONLY
TAX PAYMENT ONLY
DOCUMENTED VESSEL
SECTION 1 — OWNERSHIP
PLEASE TYPE OR PRINT
Attach sheet for additional owner
DNRID / FIRST NAME / MIDDLE NAME / LAST NAME
DNRID / FIRST NAME / MIDDLE NAME / LAST NAME
DNRID/FULL LEGAL NAME
DATE OF BIRTH
MAILING ADDRESS
CITY, STATE, ZIP
COUNTY
DRIVER’S LICENSE # &
ISSUING STATE
□
□
□
□
MALE
FEMALE
MALE
FEMALE
GENDER
LAST 4 SSN OR FIN
EMAIL ADDRESS
DAYTIME TELEPHONE
OWNERSHIP TYPE:
Tenants in Common
Joint Tenants with Rights of Survivorship
SECTION 2 — VESSEL INFORMATION
USED
NEW
VESSEL USE
VESSEL TYPE
HULL MATERIAL
PROPULSION
FUEL
ENGINE DRIVE
HULL IDENTIFICATION #
Pleasure
Open Motorboat
Fiberglass
Propeller
Gasoline
Outboard
Commercial Fishing
Cabin Motorboat
Aluminum
Water-Jet
Diesel
Inboard
MANUFACTURER
Comm Charter Fishing
PWC
Rubber Vinyl Canvas
Sail
Electric
Sterndrive
MODEL
Comm Passenger Carry
Inflatable
Plastic
Manual
Other
Pod-Drive
Commercial Other
Pontoon Boat
Wood
Air Thrust
Other
YEAR
LENGTH
Demonstration
Auxiliary Sail
Steel
Other
FT.
IN.
VESSEL NAME
Rent or Lease
Sail Only
Other
(Documented Vessels Only)
TOTAL HORSEPOWER
SERIAL NO.
ENGINE
Rowboat
MANUFACTURER(S)
YEAR
Houseboat
IF TRAILERED
USED VESSELS
Current Registration #
Paddlecraft
If not registered, explain:
LOCATION OF BOAT: RIVER/CREEK
Air Boat
DATE OF PURCHASE:
DATE TAXABLE IN MD:
SECTION 3 — SECURITY INTEREST INFORMATION
Other
NAME AND ADDRESS OF SECURED PARTY/LIEN HOLDER
DATE OF LIEN
AMOUNT OF LIEN
SECTION 5 — DEALERS ONLY
DEALER SIGNATURE REQUIRED BELOW IF REQUESTING EXTENSION
□
SECTION 4 — TAXES & FEES
DEALER LICENSE #
REQUEST FOR DEALER EXTENSION
□
TEMPORARY DECAL #
Brokerage Sale
$
TOTAL PURCHASE PRICE OR FAIR MARKET VALUE
TRADE-IN HULL ID #
($
) TRADE-IN VALUE
(DEALER SALES ONLY)
REASON FOR EXTENSION
$
NET PURCHASE PRICE
SECTION 6 — CERTIFICATION
5% Excise Tax on Net Purchase Price
Minimum - $5.00 Maximum - $15,200.00
I certify under penalty of perjury that I own the vessel described above, that I have verified the hull identification
number, and that the statements made on this application are true and correct to the best of my knowledge and belief.
Reciprocal Credit for Tax Paid to Another State STATE:
REQUEST FOR EXTENSION ONLY —
I EXPECT TO FORWARD THE COMPLETED APPLICATION WITHIN 15 DAYS.
ALL OWNERS MUST SIGN AND DATE BELOW
Net Excise Tax Due
Title Fee (MD registered vessels only)
$2.00
Signature
Date
Registration Fee – 2 year
over 16 ft. or over 7.5 hp
$24.00
16 ft. or under with 7.5 hp or under
NO FEE
Signature
Date
2-year Documented Use Decal
(documented vessels only)
$10.00
DEPARTMENT USE
Security Interest Filing Fee
— remit only if lien is to be recorded
$15.00
Penalty and interest are due when excise tax has not been paid
within 30 days of Maryland tax liability. (See reverse)
Penalty — 10% of excise tax
Interest — 1.5% per month
TOTAL DUE
MAKE CHECK PAYABLE TO “DNR”
DNR B-240 (5/17)
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