Form 87 1002-2 - Commercial Watercraft Personal Property Listing Of Ships And Vessels Page 2
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1
2D.
SHIP OR VESSEL INFORMATION
Length:
Width:
Depth:
Make:
Model:
Year Built:
Hull Material (check one):
Aluminum
Fiberglass
Steel
Wood
Other ____________
Engine Type (check one):
Single Diesel
Single Gas
Outboard Only
Twin Diesel
Twin Gas
I/O Only
Triple Diesel
Triple Gas
Year:
Make:
Model:
Horsepower:
Type of Use (check one):
1.
Commercial Fishing
(a)
Trawler
(b)
Purse Seiner
(c)
Longliner
(d)
Gillnet
(e)
Crabber
(f)
Other (specify)
Constructed per Classification Society Standards?
Yes
No
If yes, specify Classification Society:
Capacity in cubic feet of refrigeration and cooling equipment:
Type of chilling:
Water
Ice
Brine
2.
Charter/Time Share
(a)
Bareboat
(b)
Skippered
(c)
Powered
(d)
3.
Freight
(a)
Barge, Covered
(b)
Barge, Uncovered
(c)
Other (specify)__________
4.
Towing/Pushing
(a)
Towboat
(b)
Pushboat
5.
Other (specify
6.
Personal Pleasure (If checked, refer to note on front page)
Department of Licensing WN No.:
Federal
Dept. of Fish/Wildlife
Documentation No.:
Vessel Registration No.:
Hull Identification No.:
Port of Registry:
Name of Moorage Facility:
Dock/Slip No.:
Address of Facility:
County in Which Moored:
E.
SIGNATURE
The undersigned hereby certifies that to the best of their knowledge the above information is true and correct.
Name (Print):
Date:
Name (Signature):
REV 87 1002-2 (9-26-97)
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Parent category: Financial