Oregon State Marine Board Application For Boat Title And/or Registration

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STATE OF OREGON
OREGON STATE MARINE BOARD
NOT A TEMPORARY
STATE MARINE BOARD
APPLICATION FOR BOAT TITLE
PO BOX 14145
PERMIT
SALEM OR 97309-5065
AND/OR REGISTRATION
(503) 378-8587
SERVICES
FEES
OR-________________ Title No.__________________
01 Oregon Title Transfer
($30)
$
Certificate of Number
10 Late Title Transfer Penalty (Oregon boats only) ($25)
$
Out-of-State Number ________________________ Out-of-State Titles, and/or a certificate of
02 New Boat Title or Out-of-State Title Transfer
($30)
number must be surrendered upon application for Oregon title.
$
Total =
03 Registration = $3 per foot rounded up
( $ )
Provide your name to direct mail companies? ___ Yes ___ No
New Address?
Plus invasive Species Surcharge of(+ $5)
OWNER (Full Legal Name)
DOB_____________
(mmddyy)
05 Duplicate Certificate of Number only
($10)
$
06 Duplicate Certificate of Number with Decals
($10)
Last Name
First
Initial
$
07 Lost Title WITH Change of Ownership
($30)
$
Mailing Address
08 Lost Title NO Change of Ownership
($15)
$
TOTAL FEES DUE
City
State
Zip
0
$
CO-OWNER(S) (Full Legal Name)
DOB____________
VESSEL DESCRIPTION
(mmddyy)
LENGTH
ft.
in.
HIN #
Last Name
First
Initial
PROPULSION
USE
__ 1. Outboard
__ 1. Pleasure
__ 2. Inboard/ Outboard
__ 2. Livery
Last Name
First
Initial
__ 3. Sail
__ 3. Dealer
__ 4. Steam
__ 5. Commercial Fishing
SURVIVORSHIP: (Must be completed>>>) ORS 105.920
YES
NO
__ 5. Other
__ 6. Commercial Passenger
(specify)
Joint Owners agree that the title will be issued with right of survivorship.
__ 7. Tug
__ 8. Eleemosynary/Exempt
SECURITY INTEREST HOLDER
__ 9. Other
(specify)
Manufacturer
Model Year
Name
CONSTRUCTION
HULL MATERIAL
__ 1. Open Boat
__ 1. Aluminum
Mailing Address
__ 2. Cabin Cruiser
__ 2. Steel
__ 3. Cruising Houseboat
__ 3. Wood
City
State
Zip
__ 4. Other
__ 4. Fiberglass/Plastic
__ 5. Personal Watercraft (Jet ski)
__ 5. Other
(specify)
I hereby certify under penalty of law the information given by me on this application is true,
correct, and complete to the best of my knowledge and belief and that Oregon is the state of
principal use.
DO NOT WRITE IN THIS AREA
Signature
Date (MM/DD/YY)
Daytime Phone
NOT VALID UNLESS SIGNED AND DATED
Email address
REGISTRATION FEE SCHEDULE
Visit us on the Web!
Fees are calculated at $3 per foot rounded up.
Operating a motorboat of more than 10hp, requires a
(Example: 11 ft. 2 in. boat = 12 ft X $3
boater education card.
+ $5 Invasive Species Surcharge = $41).
Make checks payable to: Oregon State Marine Board
250-R07-REV01/2010

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