STATE OF GEORGIA VESSEL REGISTRATION …

1 STATE OF GEORGIA . VESSEL REGISTRATION 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. VESSEL OWNER Mark One of the Following Four Choices: Individual Business New GEORGIA REGISTRATION Boat Has Never Been Registered in GEORGIA Renewal REGISTRATION Renew Existing GEORGIA REGISTRATION (same owner). All required documentation must be Transfer (change) Ownership Includes New REGISTRATION Period (GA Registered Boats Only). submitted within 60 days of application.

2 Duplicate Decals and REGISTRATION Card After 60 days new application and ---------------------------------------- ----------- payment required. Marine Toilet Certificate 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 CELL PHONE BUSINESS PHONE. (___ ___ ___) ___ ___ ___ - ___ ___ ___ ___ (___ ___ ___) ___ ___ ___ - ___ ___ ___ ___ (___ ___ ___) ___ ___ ___ - ___ ___ ___ ___. EMAIL ADDRESS TEXT NUMBER (optional). (___ ___ ___) ___ ___ ___ - ___ ___ ___ ___. CO-OWNER(s): LAST NAME FIRST NAME MI DATE OF BIRTH. M___ ___ D ___ ___Y ___ ___ ___ ___.

3 M___ ___ D ___ ___Y ___ ___ ___ ___. VESSEL INFORMATION THIS VESSEL KEPT IN WHICH GA COUNTY: _____. THIS VESSEL IS: New Used EXPIRATION DATE BOAT MANUFACTURER YEAR BUILT. GA REGISTRATION NUMBER (EX. GA1234ZZ). M___ ___ D ___ ___Y ___ ___ ___ ___ BOAT MODEL. GA ___ ___ ___ ___. HULL IDENTIFICATION NUMBER (AFTER 1972, 12 OR 14 CHAR.) OUT-OF- STATE REGISTRATION NUMBER BOAT LENGTH. 1 2 3 4 5 6 7 8 9 10 11 12 13 14. ____ FEET ____ INCHES. VESSEL EQUIPPED WITH MARINE TOILET? MARINE TOILET CERTIFICATE NUMBER MANUFACTURE SOURCE (Check One). Yes No Factory Built Rebuilt Home Built HULL MATERIAL ENGINE DRIVE TYPE FUEL VESSEL TYPE (Check One) OPERATION (Check One) PROPULSION TYPE. (Check One) (Check One) (Check One) Open Motorboat Auxiliary Sail Pleasure (Check One). Aluminum Inboard Gas Cabin Motorboat Sail Only Rent or Lease Propeller Steel Outboard Diesel Houseboat Other Dealer/Mfg.

4 Demo Sail Wood Stern Drive Electric Pontoon Boat Charter Fishing Water Jet Fiberglass Pod Drive Other Personal Watercraft Commercial Fishing Air Thrust Rubber / Other Air Boat Commercial Manual Vinyl / Canvas Inflatable Boat Passenger Carrying Other Plastic Rowboat (no motor) Other Commercial Other Paddleboat (no motor) Operation VESSEL PURCHASED FROM (not required for Renewal REGISTRATION or Request for Duplicate Decals/ REGISTRATION Card). LAST FIRST MI DATE OF PURCHASE HOME PHONE. M___ ___ D ___ ___Y ___ ___ ___ ___ (___ ___ ___) ___ ___ ___ - ___ ___ ___ ___. STREET or PO BOX CITY STATE ZIP STATE PURCHASED FROM. ___ ___ ___ ___ ___ _____ _____. USCG DOCUMENTATION # (Include Copy of Document) DNR Use Only DO- 16-10-20: A person who knowingly and willingly makes a false, fictitious or fraudulent statement in any matter within the jurisdiction of any department or agency of STATE government shall, 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.

5 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.. Signature of Owner Date Signature of CoOwners Date Purchases are considered final and nonrefundable call 1-800-366-2661 for assistance Rev. 7-1-17. VESSEL REGISTRATION FEES. Read 1 through 4 below and mark appropriate choices. Sum cost in last block. Totals Fees shown include transaction fee. Mark 3-YR. 1. REGISTRATION BY VESSEL CLASS / DESCRIPTION. One 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 Mark FEE. Must Be Paid If Existing REGISTRATION is Expired Here Renewal Late Fee $ $_____. Mark 3. ADDITIONAL REGISTRATION OPTIONS FEE. One 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 Mark FEE. (Each REGISTRATION already includes one flexible plastic card) Here Optional Thick Plastic REGISTRATION Card $ $_____. All required documentation must be submitted within 60 days of application. Grand After 60 days new application and payment required. 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 .

7 Must use credit card for payment. Call 1-800-366-2661. Must use credit card for payment. Mail in the completed VESSEL REGISTRATION APPLICATION and payment. 1. Complete all spaces on the VESSEL REGISTRATION APPLICATION. Mail to: 2. Write the payment amount in the box provided at the bottom of the Fee Table. GA Dept of Natural Resources 3. Do not send cash. Make checks and money orders payable to GEORGIA DNR. P O Box 934943. 4. BE SURE TO SIGN YOUR REGISTRATION APPLICATION. Atlanta GA 31193-4943. 5. Mail the application with payment and all required documentation to this address. If required documentation cannot be obtained, complete the attestation below. REGISTRATION TYPE REQUIRED DOCUMENTS. See for more information. Copy of Bill of Sale/Receipt from dealer and original or legible copy of NEW VESSEL REGISTRATION - BRAND NEW.

8 Manufacturer's Statement of Origin Copy of Bill of Sale with complete VESSEL information and buyer/seller information, NEW VESSEL REGISTRATION for USED. plus TITLE (original or legible copy) for Vessels coming from a Title STATE OR if vessels Registered or Titled in ANOTHER. from Non-Title STATE , copy of Bill of Sale from last owner (and original REGISTRATION STATE . VESSEL is now coming to GEORGIA . card if available). NEW VESSEL REGISTRATION for USED VESSEL Copy of Bill of Sale with complete VESSEL information and buyer/seller information. never Registered or Titled in ANY STATE . RENEW GA REGISTRATION ~ None Required ~. Submit $10 late fee if REGISTRATION is expired TRANSFER of Ownership for a GA Copy of Bill of Sale from previous owner with VESSEL & buyer/seller information, and Registered VESSEL VESSEL is USED with an any additional previous Bills of Sale and original REGISTRATION cards that are in existing GA REGISTRATION .

9 Applicant's possession. Under penalty of law, I attest I am unable to obtain a bill of sale or other documentation showing my legal ownership of the VESSEL , I have or will submit any VESSEL REGISTRATION Cards from previous owners if in my possession, and I attest I am the legal owner of the VESSEL described in this REGISTRATION application. _____ _____. Signature of Owner / Applicant Date 16-10-20: "A person who knowingly and willfully makes a false, fictitious or fraudulent statement in any manner within the jurisdiction of any department or agency of STATE government shall, upon conviction thereof, be punished by a fine of not more than $1,000 or by imprisonment for not less than five years, or both.". TEMPORARY CERTIFICATE / AUTHORIZATION NUMBER valid for 60 days only in GEORGIA , and may be used 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 .

10 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). Purchases are considered final and nonrefundable call 1-800-366-2661 for assistance Rev. 7-1-17.