TENNESSEE DEPARTMENTOF REVENUE
REPORT OF CASUAL OR ISOLATED SALE OF VESSEL OR BOAT
Middle Initial
Previous Owners First Name
Middle Initial
Last Name
New Owners First Name
Last Name
Street Address
Street Address
City
State
Zip Code
City
State
Zip Code
Date Acquired
Make of Boat
Model
Year Built
Length
Present No. on Boat
Type of Tenancy
Written Signature of New Owner
Date
Date
No.
County Clerk
County Name
Original - Dept. of Revenue
Blue - Boat Owner
Canary - County Clerk
RV-F1303401