COLOR OF VESSEL - PRIMARY TRIM
I ____________________________ of __________________________________________ hereby
sell on __________ ___________ ____________ to ____________________________________
Month Day Year Name of Purchaser
of __________________________________________________________ the above Vessel.
Address of Purchaser
I certify this property is free of any liens or adverse claims and all personal property taxes have been paid to date. I understand that
current year property taxes are the responsibility of the seller(s), unless an otherwise enforceable agreement has been reached
between the seller and buyer. FAILURE TO NOTIFY GADNR OF SALE/TRANSACTION CAN RESULT IN THE CONTINUED
PERSONAL PROPERTY TAX ASSESSMENTS TO THE OWNER OF RECORD.
O.C.G.A. 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.”
Signature of Seller Signature of Co-Owner
Signature of Purchaser Signature of Co-Owner
Sworn before me this _____________ day of _____________ _____________.
Affix notary seal here.
Seller must notify GADNR in writing within 15 days of any change in ownership of vessel,
furnishing full information, O.C.G.A. 52-7-5(j)