GA VESSEL REGISTRATION / TITLE APPLICATION

1 Purchases are considered final and nonrefundable call 1-800-366-2661 for assistance Rev. 6-29-2020 GA VESSEL REGISTRATION / TITLE APPLICATION Georgia Law 52-7-4 requires that ALL mechanically propelled vessels AND sailboats over twelve feet in length that are used on waters of this state be registered. REGISTRATION is NOT required for: 1. Sailboats less than 12 ft. in length with no mechanical propulsion; 2. Canoes, kayaks, rowboats and rubber rafts that have no mechanical propulsion; and 3. Boats operated exclusively on private ponds or lakes. All required documentation must be submitted within 60 days of APPLICATION . After 60 days new APPLICATION and payment required. VESSEL OWNER Individual Business LAST FIRST MI DRIVERS LICENSE # ___ ___ ___ ___ ___ ___ ___ ___ ___ DL State BUSINESS NAME (only if business REGISTRATION - place contact person above) SSN (or FEIN if a business) ___ ___ ___- ___ ___ - ___ ___ ___ ___ DATE OF BIRTH M___ ___ D ___ ___Y ___ ___ ___ ___ STREET or PO BOX CITY STATE ZIP ___ ___ ___ ___ ___ HOME PHONE (___ ___ ___) ___ ___ ___ - ___ ___ ___ ___ MOBILE PHONE (___ ___ ___) ___ ___ ___ - ___ ___ ___ ___ BUSINESS PHONE (___ ___ ___) ___ ___ ___ - ___ ___ ___ ___ EMAIL ADDRESS TEXT NUMBER (optional) (___ ___ ___) ___ ___ ___ - ___ ___ ___ ___ CO-OWNER.

2 If more than one co-owner, add additional owners on separate sheet with name, DOB and address, and each additional owner s signature. LAST NAME FIRST NAME MI DATE OF BIRTH M___ ___ D ___ ___Y ___ ___ ___ ___ Same Mailing Address Different Mailing Address: _____ VESSEL INFORMATION THIS VESSEL IS: New Used THIS VESSEL KEPT IN WHICH GA COUNTY: _____ YEAR BUILT __ __ __ __ MODEL YEAR __ __ __ __ BOAT LENGTH _____ FT _____ IN GA REGISTRATION NUMBER (EX. GA1234ZZ) EXPIRATION DATE M__ __ D __ __Y __ ___ ___ ___ BOAT MANUFACTURER VESSEL HAS MARINE TOILET? Yes No #_____ GA BOAT MODEL HULL IDENTIFICATION NUMBER (AFTER 1972, 12 OR 14 CHAR.) OUT-OF-STATE REGISTRATION NUMBER MANUFACTURE SOURCE (Check One) Factory Built Rebuilt Home Built by Applicant 1 2 3 4 5 6 7 8 9 10 11 12 13 14 IS THERE A LIEN ON THIS VESSEL ? Yes NO If Yes, complete the following information. Date of Lien___/___/_____ Lien Holder Name / Company_____ Lienholder Address_____ OPERATION (Check One) Pleasure Rent or Lease Dealer/Mfg.

3 Demo Charter Fishing Commercial Fishing Commercial Passenger Carrying Other Commercial Operation HULL MATERIAL (Check One) Aluminum Steel Wood Fiberglass Rubber / Vinyl / Canvas Plastic Other Motorized If Outboard Motor: Outboard 25 HP or Less or Outboard(s) Larger than 25 HP VESSEL TYPE (Check One) Open Motorboat Air Boat Cabin Motorboat Auxiliary Sail Houseboat Other Pontoon Boat Personal Watercraft Inflatable Boat FUEL (Check One) Gas Diesel Electric Other PROPULSION TYPE (Check One) Propeller Sail Water Jet Air Thrust Other ENGINE DRIVE TYPE (Check One) Inboard Outboard Stern Drive Pod Drive Other Outboard Motor(s) Over 25 HP Serial Number _____Make _____HP_____ Serial Number _____Make _____HP_____ USCG DOCUMENTATION # (Include Copy of Document) DO- _____ No Motor VESSEL TYPE (Check One) Sail Only Paddleboat Inflatable Boat Rowboat Other FUEL None PROPULSION TYPE Manual Only ENGINE DRIVE TYPE Manual Only DOES THIS VESSEL HAVE HULL DAMAGE?

4 Yes NO Hull damaged means compromised with respect to the integrity of a VESSEL 's hull by a collision, allision, lightning strike, fire, explosion, running aground, or similar occurrence that creates a significant risk to the integrity of the VESSEL 's hull. VESSEL PURCHASED FROM (not required for Renewal REGISTRATION or Request for Duplicate Decals/ REGISTRATION Card) LAST FIRST MI DATE OF PURCHASE M___ ___ D ___ ___Y ___ ___ ___ ___ HOME PHONE (___ ___ ___) ___ ___ ___ - ___ ___ ___ ___ STREET or PO BOX CITY STATE ZIP ___ ___ ___ ___ ___ STATE PURCHASED FROM _____ _____ 16-10-20: A person who knowingly and willingly makes a false, fictitious or fraudulent any matter within the jurisdiction of any department or agency of state , upon conviction thereof, be punished by a fine of not more than $1000 or by imprisonment for not less than one nor more than five years, or both. I (we) declare under the penalties prescribed in the statutes of Georgia, to the best of my (our) knowledge and belief that I (we) own the VESSEL described herein and that the description and all matters stated herein are true and correct.

5 Signature of Owner Date Signature of CoOwner Date Purchases are considered final and nonrefundable call 1-800-366-2661 for assistance Rev. 6-29-2020 Mail to: GA Dept of Natural Resources P O Box 934943 Atlanta GA 31193-4943 FEES - Read 1 through 4 below and mark choices. Sum cost in last block. Fees shown include transaction fee. Mark One of the Following Four Choices: New Georgia REGISTRATION Boat Has Never Been Registered in Georgia Transfer (change) Ownership Includes New REGISTRATION Period (GA Registered Boats Only) Renewal REGISTRATION Renew Existing Georgia REGISTRATION (same owner) Duplicate Decals and REGISTRATION Card Totals 1. REGISTRATION BY VESSEL CLASS / DESCRIPTION Mark One 3-YR FEE Class A Vessels up to 15ft, 11ins in length $ $_____ Class I Vessels 16ft up to 25ft, 11ins in length $ Class II Vessels 26ft up to 39ft, 11ins in length $ Class III Vessels 40ft in length and over $ Duplicate Replace Decals and REGISTRATION Card $ 2.

6 RENEWAL LATE FEE Same Owner Must Be Paid If Existing REGISTRATION is Expired Mark Here FEE Renewal Late Fee $ $_____ 3. ADDITIONAL REGISTRATION OPTIONS Mark One FEE Marine Toilet Certificate (If included with a REGISTRATION in 1. above) $ $_____ Marine Toilet Certificate (Stand-alone purchase - no REGISTRATION order) $ $_____ 4. OPTIONAL THICK PLASTIC REGISTRATION CARD (Each REGISTRATION already includes one flexible plastic card) Mark Here FEE Optional Thick Plastic REGISTRATION Card $ $_____ All required documentation must be submitted within 60 days of APPLICATION . After 60 days new APPLICATION and payment required. Grand Total $_____ Purchases are considered final and nonrefundable call 1-800-366-2661 for assistance. Instructions: 3 ways to complete a VESSEL REGISTRATION , receive a DUPLICATE, or obtain a MARINE TOILET certificate: Online: Go to and select VESSEL REGISTRATION . Must use credit card for payment. Call 1-800-366-2661.

7 Must use credit card for payment. Mail in the completed VESSEL REGISTRATION APPLICATION and payment. 1. Complete all spaces on the VESSEL REGISTRATION APPLICATION . 2. Write the payment amount in the box provided at the bottom of the Fee Table. 3. No cash. Make checks and money orders payable to GEORGIA DNR. 4. BE SURE TO SIGN YOUR REGISTRATION APPLICATION . 5. Mail the APPLICATION with payment and all required documentation to this address. If required documentation cannot be obtained, see or call 1-800-366-2661. TEMPORARY CERTIFICATE / AUTHORIZATION NUMBER issued at payment is valid for 60 days and may be used in GA, but only if the VESSEL has a valid Hull Identification Number (HIN) or is exempt from HIN requirements because it is a 1972 or older VESSEL . IMPORTANT: To Use Temporary REGISTRATION , applicant must KEEP A COPY of completed APPLICATION & a COPY OF PAYMENT while the boat is being operated (if mailed), have a copy of the online renewal receipt (if done online), or have a temporary authorization # in possession (telephone).

8 All required documentation must be submitted within 60 days of APPLICATION . After 60 days new APPLICATION and payment required. REGISTRATION TYPE REQUIRED DOCUMENTS. See for more information. NEW VESSEL REGISTRATION BRAND NEW BOAT Copy of Bill of Sale/Receipt from dealer and original Manufacturer s Statement of Origin. TRANSFER of Ownership for a GA Registered VESSEL VESSEL is USED with an existing GA REGISTRATION . Copy of Bill of Sale from previous owner of record with VESSEL & buyer/seller information, and any additional previous Bills of Sale and original REGISTRATION cards that show chain of ownership. If GA boat has a GA eTitle no additional documents required. If boat has a Georgia Paper TITLE issued, must submit original transferred TITLE . NEW VESSEL REGISTRATION for USED VESSEL Registered or Titled in ANOTHER state. VESSEL is now coming to Georgia. Copy of Bill of Sale with complete VESSEL information and buyer/seller information, plus transferred TITLE (original) for Vessels coming from a TITLE State OR if from Non- TITLE State, copy of Bill of Sale from last owner and original REGISTRATION card.

9 NEW VESSEL REGISTRATION for USED VESSEL never Registered or Titled in ANY State. Copy of Bill of Sale with complete VESSEL information and buyer/seller information, and form VESSEL Not Previously Registered / Titled. RENEW GA REGISTRATION Submit $10 late fee if REGISTRATION is expired ~ None Required ~