Iowa Department Of Natural Resources Application
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1
2APPLICATION
Title #:
IA #:
─ Owner/Buyer Information ─
REGISTRATION
Iowa Resident
Non Resident
Last Name
First Name
Middle Name
Birth Date
#1
And
Or
#2
Current Residence & Mailing Address:
Street Address/PO Box
City
State
Zip Code
Phone Number:
(
)
-
Email:
Provide one of the following identification numbers for person #1 above:
(Applicants for an All-Terrain Vehicle or Snowmobile registration who do not have a DNR, Iowa Driver's License, or Social Security number must obtain a DNR number
from a County Recorder after completing the Recorder provided form: "Recreational License Application and Affidavit for Persons Without Social Security Number.")
DNR Number
or
Iowa Driver's License Number
or
Social Security Number
#1:
FT.
M
Gender:
Height:
Weight:
Eye Color:
#1:
F
IN.
APPLICATION DATE:
COUNTY OF REGISTRATION:
ATV
REGISTRATION
TITLE
BOND
LIEN
1
5
7
9
11
SUBSEQUENT LIEN
BOAT
2
DUPLICATE
OTHER
6
DUPLICATE
10
8
12
IOWA APPLICATION FOR:
SNOW
REGISTRATION
3
TITLE
ORV
4
Transfer Without Consideration
Tax Paid Dealer
Casual Sale
No Exemption
1
4
7
9
COUNTY RECORDER USE ONLY:
Homemade
Tax Paid Other State
Other_______________
Tax Exempt
2
5
8
10
Government, Nonprofit
Purchase for Resale
3
6
BOAT
Previous Title No. (if any):
Registration No.:
Make or Mfg or Homemade
Color
Model Year
Boat Length
Boat Width
HIN
FT.
IN.
IN.
Type of Use:
Type of Boat:
Hull Material:
Propulsion:
Fuel:
Pleasure
Cabin Cruiser
Aluminum
Outboard
Gas
1
1
1
1
1
Dealer
Canoe
Fiberglass
Inboard
Diesel
2
2
2
2
2
Rental
PWC
Wood
Outboard-Inboard
Other
3
3
(Jet Ski, Wave Runner)
3
3
3
Official
Houseboat
Steel
Sail
4
4
4
4
Capacity
:
(from plate, if any)
Commercial Passenger
Pontoon
Plastic
Other Nonpower-Nonsail
5
5
5
5
persons
Commercial Fishing
Rowboat
Other:
Paddle-Oars
6
6
6
6
Horsepower:
Other:
Runabout
7
7
Sailboat
8
h.p.
Other:
9
ATV/SNOWMOBILE
DOT Titled
Previous Title No. (if any):
Registration No.:
Make
Color
Model
VIN
Farm
Model Year:
CC:
Dry Wt. in Lbs:
No. of Wheels:
(OVER FOR TITLING, DEALER SALES INFORMATION, BONDING, AND SIGNATURES)
IOWA DEPARTMENT OF NATURAL RESOURCES
11/2010 cmz
DNR Form 542-8067
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