This document is an affidavit of purchase/ownership form from the Pennsylvania Fish & Boat Commission. It is used to establish ownership of boats purchased through private sales without a bill of sale or previous registration. The form requires the purchaser to provide their information, details of the boat such as make, model, identification numbers, and purchase details including price and date. The purchaser must sign to certify the information is true under penalty of unsworn falsification.
This document is an affidavit of purchase/ownership form from the Pennsylvania Fish & Boat Commission. It is used to establish ownership of boats purchased through private sales without a bill of sale or previous registration. The form requires the purchaser to provide their information, details of the boat such as make, model, identification numbers, and purchase details including price and date. The purchaser must sign to certify the information is true under penalty of unsworn falsification.
This document is an affidavit of purchase/ownership form from the Pennsylvania Fish & Boat Commission. It is used to establish ownership of boats purchased through private sales without a bill of sale or previous registration. The form requires the purchaser to provide their information, details of the boat such as make, model, identification numbers, and purchase details including price and date. The purchaser must sign to certify the information is true under penalty of unsworn falsification.
This document is an affidavit of purchase/ownership form from the Pennsylvania Fish & Boat Commission. It is used to establish ownership of boats purchased through private sales without a bill of sale or previous registration. The form requires the purchaser to provide their information, details of the boat such as make, model, identification numbers, and purchase details including price and date. The purchaser must sign to certify the information is true under penalty of unsworn falsification.
(06/13) Pennsylvania Fish & Boat Commission AFFIDAVIT OF Division of Licensing & Registration PURCHASE/OWNERSHIP P.O. Box 68900 Harrisburg, PA 17106-8900 866-262-8734 Fax: 717-705-7931 www.fishandboat.com
DO NOT USE THIS FORM IF THE BOAT IS DISPLAYING A PA REGISTRATION NUMBER OR A REGISTRATION 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 Organization Information
Name of Seller or Organization
Address of Seller
City State Zip Code Phone Number
B. Description of Boat Purchased
Make of Boat
Model of Boat
Hull Identification Number (HIN) or Serial Number
Length of Boat
Purchase Date
Purchase Price $
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 – Pennsylvania Fish and Boat Commission, Bureau of Law Enforcement
NCIC Verification: □ Reported Stolen □ Not Reported Stolen NCIC Verification Date: ____________________ NCIC BLE Investigator: _________________________
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