Form 798 - Boat, Vessel, Or Outboard Motor Affidavit Of Ownership And Inspection

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Missouri Department of Revenue
Boat, Vessel, or Outboard Motor
FORM
Office Validation
Control Number
798
Affidavit of Ownership and Inspection
Read the instructions section of this form. All appropriate blocks on this form must be completed or it will be rejected.
Purchaser or Owner
Phone Number
Seller’s Name (if applicable)
Phone Number
(__ __ __) __ __ __ - __ __ __ __
(__ __ __) __ __ __ - __ __ __ __
Address
Address
City
State
Zip Code
City
State
Zip Code
__ __ __ __ __
__ __ __ __ __
Year
Make
Vehicle Identification Number or Hull Identification Number
r
r
r
1) A Replacement Identification Number is needed for the following unit:
Vessel
Outboard Motor
Vessel Trailer
r
r
r
The original Identification number was:
Lost
Stolen
Destroyed or Mutilated
r
r
2) A New Identification Number is needed for the following unit:
Vessel - Homemade (MOZ)
Vessel - Manufactured (MOZA)
r
r
r
Outboard Motor - Homemade
Outboard Motor - Manufactured
Manufactured Vessel Trailer
r
r
3) This unit has not been titled or registered because:
The unit was operated on private waters only.
The unit was homemade.
r
I have no title, registration, or bill of sale for this unit. The circumstances surrounding my acquisition of this unit are listed below. If the unit
was abandoned on real estate owned or purchased by you, include the location (address, city, state) of the unit and the number of
any decal that was attached to the unit. (Attach additional sheet if necessary)
_____________________________________________________________________________________________________________
r
4)
Other - such as title correction or verification. _________________________________________________________________________
Signature of Owner (Required)
I certify that the facts stated herein are true to the best of my knowledge.
®
Subscribed and sworn before me, this
Embosser or black ink rubber stamp seal
day of
year
State
County (or City of St. Louis)
My Commission Expires (MM/DD/YYYY)
__ __/__ __/__ __ __ __
Notary Public Signature
Notary Public Name (Typed or Printed)
Law enforcement agency or agent (See instruction section)
Check only one:
r
r
r
r
Vessel or Boat - Homemade
Vessel or Boat - Manufactured
Outboard Motor - Homemade
Corrected Title
r
r
r
Outboard Motor - Manufactured
Homemade Vessel Trailer (For replacement DRX# only)
Manufactured Vessel Trailer
HIN/VIN/OBM (If no public number, record confidential number)
Year
Make
Model Number
Horsepower
r
r
r
HIN/VIN/OBM Needed
No Number Needed
Issue New Number
Issue Replacement Number
Color
Length
Material
Type of Propulsion
Boat Type
MO Number
Registration Decal Number
Decal Expiration
Year __ __ __ __
r
r
r
Condition of Unit
Running Condition
Minor Damage
Salvaged
Remarks:
Check one block and sign
r
I certify that I have physically inspected the vessel, outboard motor, or trailer described above. NCIC and MULES checks of pertinent serial numbered
parts or unit identification numbers came back as not stolen, and the information above is true and correct to the best of my knowledge.
Law Enforcement Agency
File No.
Examining Officer’s Signature
Badge No. Date Inspected
__ __/__ __/__ __ __ __
r
__ __/__ __/__ __ __ __
I certify that on
I did affix the replacement plate, control number ____________________________ issued by the
Department of Revenue to the above watercraft, vessel trailer, or outboard motor.
Law Enforcement Agency
File No.
Examining Officer’s Signature
Badge No.
Date Affixed
__ __/__ __/__ __ __ __
Form 798 (Revised 11-2013)

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