Affidavit of Ownership Form - Pennsylvania
O NOT US E THIS FORM IF THE BOAT IS DISPLAYI NG A PA REGISTRATION NUMB ER OR A REG I STRAT ION OF ANOTHER STATE.
This form is used to establish ownership of boats purchased at flea markets, yard/garage sales, auction/estate sales and other
private transactions where a bill-of-sale or Manufacturer’s Certificate of Origin (MCO) is not available and the boat was not
previously registered in Pennsylvania or any other state. Also, use this form to show ownership of a homemade or specially
constructed boat (include bills-of-sale for major components). This form is only valid when used with form REV-336, Application
for Boat Registration.
whose residence is _________________________________________________________________________________
certify under penalty of law (18 Pa. C.S. §4904 (relating to unsworn falsification to authorities)) that the statements made
herein are true and correct to the best of my/our knowledge, information and belief. I/We certify that the boat described
below has been purchased from:
A. Seller or Org anization Information
Name of Seller or Organization
Address of Seller
B. Descriptio n o f Boat Purchased
Make of Boat
Model of Boat
Hull Identification Number (HIN) or Serial Number
Length of Boat
Does the boat currently have a Pennsylvania or other state registration number?
□ Yes □ No
If yes, place registration number here _________________________.
Signature of Purchaser Date
Signature of Co-Purchaser Date
For Official Use Only – Penns ylvania Fish and Boat Commission, Bureau of Law Enforcement
NCIC Verification: □ Reported Stolen □ Not Reported Stolen
NCIC Verification Date: ____________________ NCIC BLE Investigator: _________________________
Pennsylvania Fish & Boat Commission
Divis i on of Licens i ng & Registrati on
P.O. Box 68900
Harrisburg, PA 17106-8900
866-262-8734 Fax: 717-705-7931
Affidavit of Ownership Form - Pennsylvania PDF
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