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Get NC Vessel Title Request Form 2014-2024

Revised 01/2014 VESSEL TITLE REQUEST FORM Instructions Complete this application sign and return to the address listed below. I declare the title certificate for the above named vessel has been lost. Add a title and lien to a registered vessel Price includes administrative surcharge as mandated by NCGS 75A-5. Applications will be returned if not completely filled out if the necessary attachments and fee are not included or if the handwriting is not legible. For more information go to www. ncwildlife. org or call 800-628-3773. Vessel Registration Number N C - Hull Identification Number NC Title Number if applicable Owner Information attach an additional sheet listing the information if there are more than two owners Primary Owner s Full Name Telephone Mailing Address Resident Address if different from above Birth Date required NC Driver License Email Secondary Owner s Full Name Vessel Title Request check one Fee Request for duplicate title If you would like to request a duplicate vessel registration in addition to the duplicate title include an additional 8 with your application. Add a title to a registered vessel Add a lien to a titled vessel Original title must be submitted with this application. If title has been lost please sign the following statement. Applications will be returned if not completely filled out if the necessary attachments and fee are not included or if the handwriting is not legible. 2 c. Lienholder Information only complete if adding a lien Lienholder s Name Date of Lien Address Certification I/We listed below am/are the rightful owner s of the vessel described above and hereby make application for that which is indicated above and certify that the statements made herein are true and correct to the best of my/our knowledge information and belief and that the vessel is subject to the liens or encumbrances listed and none other. Signature s of Owner s Date Signature of Duly Authorized Attorney in Fact attach Properly Executed Power of Attorney Mail application with appropriate documentation and fee to Make check or money order payable to NCWRC. Transactions are not considered final until the check has cleared the bank. Items purchased with a returned check will be made invalid* A Service Charge of up to 25 will be charged on returned checks G*S* 25-3-506. North Carolina Wildlife Resources Commission Transaction Management 1709 Mail Service Center Raleigh NC 27699-1709 Call for priority mail UPS Fed* Ex. Instructions Office Location NCSU Centennial Campus WRC Headquarters 1751 Varsity Drive Raleigh NC Website www. 2 c. Lienholder Information only complete if adding a lien Lienholder s Name Date of Lien Address Certification I/We listed below am/are the rightful owner s of the vessel described above and hereby make application for that which is indicated above and certify that the statements made herein are true and correct to the best of my/our knowledge information and belief and that the vessel is subject to the liens or encumbrances listed and none other. Signature s of Owner s Date Signature of Duly Authorized Attorney in Fact attach Properly Executed Power of Attorney Mail application with appropriate documentation and fee to Make check or money order payable to NCWRC. .

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