APPLICATION FOR VESSEL REGISTRATION AND …

NEWOWNER(S)/APPLICANT(S)INFORMATION(All owners' names and addresses must be listed. Use B-148 addendum if more than two owners)DMV USEONLYAUTHORIZED DEALER OR RETAILERSELLERINFORMATIONTAX EXEMPTIONS (All tax exemptions are reviewed by State of Connecticut Dept. of Revenue Services) APPLICATION FOR VESSELREGISTRATION AND CERTIFICATEOF NUMBER DECALB-148 REV. 10-2016 STATE OF CONNECTICUTDEPARTMENT OF MOTOR VEHICLES60 STATE STREET, WETHERSFIELD, CTCertification(New owner(s) or applicant(s))CURRENT OUT OF STATE VESSEL NUMBERDOCUMENTED VESSEL NUMBER (US or foreign)STATE WHERE VESSEL IS PRIMARILY USED TYPE OF APPLICATIONNEWREGISTRATIONTRANSFER TO NEW OWNERCERTIFICATEOF (List previous number)NAME OF OWNER (Last, First, Middle Initial - or Company Name)OWNER'S CT OPERATOR'S LIC. 'S SEXCITIZENSHIPMFUSOTHERADDRESS OF OWNEROWNER'S SAFE BOATING CERTIFICATE 'S DATE OF BIRTHOWNER'S TELEPHONE NUMBER (Optional)OWNER'S RESIDENCE ADDRESS (If different than mailing address)DMV USE ONLYLENGTH OF POWERPRINCIPAL HULL MATERIALMODEL YEARALUMINUMPLASTIC (P)WOOD (W)RUBBER/VINYL/CANVASOTHER (O) (Specify)FOR SALES BY DEALER OR RETAILER OF VESSELSTOTAL SALES PRICETRADE-IN ALLOWANCENET SALES PRICESALES TAX COLLECTEDTRADE-IN INFORMATIONMAKEMODELYEARHULL NUMBERREG.

GENERAL INFORMATION When a CT number has been assigned to a vessel, this number will remain with the vessel throughout the ownership change. Each new owner

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