Application For Vessel Title And Registration
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2MVD-10003
APPLICATION FOR VESSEL TITLE AND REGISTRATION
REV. 06/02
NEW MEXICO REGISTRATION NUMBER
HULL IDENTIFICATION NUMBER
MAKE
MODEL
YEAR
STATE
TYPE OF
HORSEPOWER
ENGINE ID NUMBER
OVERALL LENGTH
BEAM
TRANSOM
PASSENGER
PASSENGER
TRANSACTION
(SeeTrans. Codes Below)
FT.
IN.
DEPTH
CAPACITY
CAPACITY LBS.
WIDTH
TYPE OF USE
TYPE OF BOAT
PROPULSION
HULL MATERIAL
FUEL
1. PLEASURE
1. GASOLINE
1. FIBERGLASS
1. INBOARD
1. OPEN
2. RENTAL
2. DIESEL
2. OUTBOARD
2. ALUMINUM
2. CABIN
3. DEMO
3. ELECTRIC
3. IN/OUTBOARD
5. SAIL AUX.
3. WOOD
5. RUBBER
3. BOAT
4. COMMERCIAL
4. SAIL
4. SAIL
6. JET AIR
4. STEEL
6. STYROFOAM
EXCISE TAX
NAME AND ADDRESS OF REGISTERED OWNER(S)
AND FEES
SALE PRICE
LESS TRADE-IN
COUNTY
PREVIOUS TITLE NUMBER
STATE
PREVIOUS REGISTRATION NO.
NET DIFFERENCE
NUMBER
OF LIENS
(OUT OF STATE)
EXCISE TAX
THE DIVISION IS NOT RESPONSIBLE FOR
TAXATION & REVENUE DEPARTMENT
CREDIT OF TAXES
FALSE OR FRAUDULENT STATEMENTS
MADE IN CONNECTION WITH THIS APPLICA-
MOTOR VEHICLE DIVISION
TAX DUE
TION OR HELD LIABLE FOR RECORDING
P. O. Box 1028
ERRORS.
Santa Fe, New Mexico 87504-1028
TITLE FEE
SEE BACK SIDE FOR FEES AND INSTRUCTIONS
REGISTRATION FEE
FILE DATE
MATURITY DATE
FILE DATE
MATURITY DATE
FIRST
SECOND
LIENHOLDER
LIENHOLDER
LATE TITLE PENALTY
NAME AND ADDRESS OF LIENHOLDER
NAME AND ADDRESS OF LIENHOLDER
DUPLICATE FEE
TOTAL FEES
OWNER CERTIFICATION:
I HEREBY CERTIFY THAT ALL INFORMATION GIVEN HEREIN IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.
FIRST REGISTERED OWNER SIGNATURE
SECOND REGISTERED OWNER SIGNATURE
X
X
TRANSACTION CODES
REMARKS:
1. FIRST TIME TITLE
2. TITLE TRANSFER
3. LIEN FILING
4. DUPLICATE TITLE
5. NO TITLE FEE
6. REGISTRATION
RENEWAL
7. DUPLICATE
REGISTRATION
8. REGISTRATION ONLY
9. NO FEE REGISTRATION
ALL VESSELS BEING TITLED FOR THE FIRST TIME MUST BE INSPECTED BY A MOTOR VEHICLE DIVISION
VESSEL INSPECTION:
EMPLOYEE, STATE PARK EMPLOYEE, LAW ENFORCEMENT OFFICER OR DESIGNATED DEALER.
INSPECTION
INSPECTOR'S AGENCY
DATE:
OR DEALERSHIP NAME:
INSPECTOR'S
INSPECTOR'S
SIGNATURE:
ID NUMBER:
TITLE FORM
TITLE NUMBER
.
EXPIRATION YR
RECEIPT DATE
DECAL NUMBER
RECEIPT NUMBER
ACCEPTED BY
CONTROL NUMBER
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