DOR-798 Boat/Vessel or Outboard Motor Affidavit of Ownership and ...

DOR-798 Boat/Vessel or Outboard Motor Affidavit of Ownership and ... DOR-798 Boat/Vessel or Outboard Motor Affidavit of Ownership and ...

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MOTOR VEHICLE BUREAU PO BOX 2076, JEFFERSON CITY MO 65105-2076 (573) 526-3669 www.dor.mo.gov/mvdl BOAT/VESSEL OR OUTBOARD MOTOR AFFIDAVIT OF OWNERSHIP AND INSPECTION FORM 798 (REV. 10-2012) OFFICE VALIDATION CONTROL NUMBER SUBMIT THIS FORM DIRECTLY TO THE MOTOR VEHICLE BUREAU, PO BOX 2076, JEFFERSON CITY, MO 65105-0100. READ ALL INSTRUCTIONS ON THE BACK OF THIS FORM. ALL APPROPRIATE BLOCKS ON THIS FORM MUST BE COMPLETED OR IT WILL BE REJECTED. APPLICANT PURCHASER/OWNER PHONE NUMBER SELLER’S NAME (IF APPLICABLE) PHONE NUMBER (__ __ __) __ __ __ - __ __ __ __ (__ __ __) __ __ __ - __ __ __ __ ADDRESS ADDRESS CITY STATE ZIP CODE CITY STATE ZIP CODE __ __ __ __ __ __ __ __ __ __ YEAR MAKE HIN/VIN/OBM/VEHICLE IDENTIFICATION NO. MODEL PURCHASE PRICE/RETAIL VALUE DATE PURCHASED/ACQUIRED __ __ __ __ / __ __ / __ __ __ __ ONE OF THE FOLLOWING MUST BE COMPLETED. 1) A REPLACEMENT IDENTIFICATION NUMBER IS NEEDED FOR THE FOLLOWING UNIT: VESSEL OUTBOARD MOTOR VESSEL TRAILER THE ORIGINAL IDENTIFICATION NUMBER WAS LOST STOLEN OR DESTROYED/MUTILATED (See A on back of form). 2) A NEW IDENTIFICATION NUMBER IS NEEDED FOR THE FOLLOWING UNIT: VESSEL - HOMEMADE (MOZ) VESSEL - MANUFACTURED (MOZA) OUTBOARD MOTOR - HOMEMADE OUTBOARD MOTOR - MANUFACTURED MANUFACTURED VESSEL TRAILER (See B on back of form). 3) THIS UNIT HAS NOT BEEN TITLED OR REGISTERED BECAUSE: THE UNIT WAS OPERATED ON PRIVATE WATERS ONLY. THE UNIT WAS HOMEMADE. I HAVE NO TITLE, REGISTRATION, OR BILL OF SALE FOR THIS UNIT. THE CIRCUMSTANCES SURROUNDING MY ACQUISITION OF THIS UNIT ARE LISTED BELOW. IF THE UNIT WAS ABANDONED ON REAL ESTATE OWNED OR PURCHASED BY YOU, INCLUDE THE LOCATION (ADDRESS, CITY, STATE) OF THE UNIT AND THE NUMBER OF ANY DECAL THAT WAS ATTACHED TO THE UNIT. (ATTACH ADDITIONAL SHEET IF NECESSARY) __________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________________________ 4) OTHER (SUCH AS TITLE CORRECTION/VERIFICATION) ________________________________________________________________________________________ (See C on back of form). I CERTIFY THAT THE FACTS STATED HEREIN ARE TRUE TO THE BEST OF MY KNOWLEDGE. ® INSPECTION VERIFICATION - LAW ENFORCEMENT AGENCY/AGENT (SEE REVERSE SIDE FOR CODES) CHECK ONLY ONE: VESSEL/BOAT - HOMEMADE VESSEL/BOAT - MANUFACTURED OUTBOARD MOTOR - HOMEMADE CORRECTED TITLE OUTBOARD MOTOR - MANUFACTURED HOMEMADE VESSEL TRAILER (for replacement DRX# only) MANUFACTURED VESSEL TRAILER HIN/VIN/OBM (IF NO PUBLIC NUMBER, RECORD CONFIDENTIAL NUMBER) YEAR MAKE MODEL NUMBER H.P. HIN/VIN/OBM NEEDED SIGNATURE OF OWNER (REQUIRED) NOTARY INFORMATION - REQUIRED ONLY WHEN OBTAINING A REPLACEMENT IDENTIFICATION NUMBER NOTARY PUBLIC EMBOSSER OR STATE COUNTY (OR CITY OF ST. LOUIS) BLACK RUBBER STAMP SEAL NO NUMBER NEEDED ISSUE NEW NUMBER ISSUE REPLACEMENT NUMBER COLOR EXP. LENGTH MATERIAL TYPE OF PROPULSION BOAT TYPE MO. NUMBER REGISTRATION DECAL NUMBER DECAL YR. CONDITION OF UNIT RUNNING CONDITION MINOR DAMAGE SALVAGED REMARKS: __________________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________ LAW ENFORCEMENT CERTIFICATION (CHECK ONE BLOCK AND SIGN) SUBSCRIBED AND SWORN BEFORE ME, THIS MY COMMISSION EXPIRES DAY OF NOTARY PUBLIC SIGNATURE NOTARY PUBLIC NAME (TYPED OR PRINTED) I CERTIFY THAT I HAVE PHYSICALLY INSPECTED THE VESSEL/OUTBOARD MOTOR/TRAILER DESCRIBED ABOVE. NCIC AND MULES CHECKS OF PERTINENT SERIAL NUMBERED PARTS OR UNIT IDENTIFICATION NUMBERS CAME BACK AS NOT STOLEN, AND THE INFORMATION ABOVE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. LAW ENFORCEMENT AGENCY FILE NO. EXAMINING OFFICER’S SIGNATURE BADGE NO. DATE INSPECTED I CERTIFY THAT ON _____________ I DID AFFIX THE REPLACEMENT PLATE, CONTROL NUMBER ___________________________________ ISSUED BY THE DEPARTMENT OF REVENUE TO THE ABOVE WATERCRAFT, VESSEL TRAILER, AND/OR OUTBOARD MOTOR. LAW ENFORCEMENT AGENCY FILE NO. EXAMINING OFFICER’S SIGNATURE BADGE NO. DATE AFFIXED DOR-798 (10-2012)

MOTOR VEHICLE BUREAU<br />

PO BOX 2076, JEFFERSON CITY MO 65105-2076<br />

(573) 526-3669 www.d<strong>or</strong>.mo.gov/mvdl<br />

BOAT/VESSEL OR OUTBOARD MOTOR<br />

AFFIDAVIT OF OWNERSHIP AND INSPECTION<br />

FORM<br />

<strong>798</strong><br />

(REV. 10-2012)<br />

OFFICE VALIDATION CONTROL NUMBER<br />

SUBMIT THIS FORM DIRECTLY TO THE MOTOR VEHICLE BUREAU, PO BOX 2076, JEFFERSON CITY, MO 65105-0100. READ ALL<br />

INSTRUCTIONS ON THE BACK OF THIS FORM. ALL APPROPRIATE BLOCKS ON THIS FORM MUST BE COMPLETED OR IT WILL BE REJECTED.<br />

APPLICANT<br />

PURCHASER/OWNER PHONE NUMBER SELLER’S NAME (IF APPLICABLE) PHONE NUMBER<br />

(__ __ __) __ __ __ - __ __ __ __<br />

(__ __ __) __ __ __ - __ __ __ __<br />

ADDRESS ADDRESS<br />

CITY STATE ZIP CODE CITY STATE ZIP CODE<br />

__ __ __ __ __<br />

__ __ __ __ __<br />

YEAR MAKE HIN/VIN/OBM/VEHICLE IDENTIFICATION NO. MODEL PURCHASE PRICE/RETAIL VALUE DATE PURCHASED/ACQUIRED<br />

__ __<br />

__ __ / __ __ / __ __ __ __<br />

ONE OF THE FOLLOWING MUST BE COMPLETED.<br />

1) A REPLACEMENT IDENTIFICATION NUMBER IS NEEDED FOR THE FOLLOWING UNIT: VESSEL OUTBOARD MOTOR VESSEL TRAILER<br />

THE ORIGINAL IDENTIFICATION NUMBER WAS LOST STOLEN OR DESTROYED/MUTILATED<br />

(See A on back <strong>of</strong> f<strong>or</strong>m).<br />

2) A NEW IDENTIFICATION NUMBER IS NEEDED FOR THE FOLLOWING UNIT: VESSEL - HOMEMADE (MOZ) VESSEL - MANUFACTURED (MOZA)<br />

OUTBOARD MOTOR - HOMEMADE OUTBOARD MOTOR - MANUFACTURED MANUFACTURED VESSEL TRAILER (See B on back <strong>of</strong> f<strong>or</strong>m).<br />

3) THIS UNIT HAS NOT BEEN TITLED OR REGISTERED BECAUSE:<br />

THE UNIT WAS OPERATED ON PRIVATE WATERS ONLY. THE UNIT WAS HOMEMADE.<br />

I HAVE NO TITLE, REGISTRATION, OR BILL OF SALE FOR THIS UNIT. THE CIRCUMSTANCES SURROUNDING MY ACQUISITION OF THIS UNIT ARE LISTED BELOW.<br />

IF THE UNIT WAS ABANDONED ON REAL ESTATE OWNED OR PURCHASED BY YOU, INCLUDE THE LOCATION (ADDRESS, CITY, STATE) OF THE UNIT AND THE<br />

NUMBER OF ANY DECAL THAT WAS ATTACHED TO THE UNIT.<br />

(ATTACH ADDITIONAL SHEET IF NECESSARY) __________________________________________________________________________________________________<br />

______________________________________________________________________________________________________________________________________________<br />

4) OTHER (SUCH AS TITLE CORRECTION/VERIFICATION) ________________________________________________________________________________________<br />

(See C on back <strong>of</strong> f<strong>or</strong>m).<br />

I CERTIFY THAT THE FACTS STATED HEREIN ARE TRUE TO THE BEST OF MY KNOWLEDGE. ®<br />

INSPECTION VERIFICATION - LAW ENFORCEMENT AGENCY/AGENT (SEE REVERSE SIDE FOR CODES)<br />

CHECK ONLY ONE: VESSEL/BOAT - HOMEMADE VESSEL/BOAT - MANUFACTURED OUTBOARD MOTOR - HOMEMADE CORRECTED TITLE<br />

OUTBOARD MOTOR - MANUFACTURED HOMEMADE VESSEL TRAILER (f<strong>or</strong> replacement DRX# only) MANUFACTURED VESSEL TRAILER<br />

HIN/VIN/OBM (IF NO PUBLIC NUMBER, RECORD CONFIDENTIAL NUMBER) YEAR MAKE MODEL NUMBER H.P.<br />

HIN/VIN/OBM NEEDED<br />

SIGNATURE OF OWNER (REQUIRED)<br />

NOTARY INFORMATION - REQUIRED ONLY WHEN OBTAINING A REPLACEMENT IDENTIFICATION NUMBER<br />

NOTARY PUBLIC EMBOSSER OR STATE COUNTY (OR CITY OF ST. LOUIS)<br />

BLACK RUBBER STAMP SEAL<br />

NO NUMBER NEEDED ISSUE NEW NUMBER ISSUE REPLACEMENT NUMBER<br />

COLOR<br />

EXP.<br />

LENGTH MATERIAL TYPE OF PROPULSION BOAT TYPE MO. NUMBER REGISTRATION DECAL NUMBER DECAL<br />

YR.<br />

CONDITION OF UNIT RUNNING CONDITION MINOR DAMAGE SALVAGED<br />

REMARKS: __________________________________________________________________________________________________________________________________<br />

____________________________________________________________________________________________________________________________________________<br />

____________________________________________________________________________________________________________________________________________<br />

LAW ENFORCEMENT CERTIFICATION (CHECK ONE BLOCK AND SIGN)<br />

SUBSCRIBED AND SWORN BEFORE ME, THIS MY COMMISSION EXPIRES<br />

DAY OF<br />

NOTARY PUBLIC SIGNATURE NOTARY PUBLIC NAME (TYPED OR PRINTED)<br />

I CERTIFY THAT I HAVE PHYSICALLY INSPECTED THE VESSEL/OUTBOARD MOTOR/TRAILER DESCRIBED ABOVE. NCIC AND MULES CHECKS OF PERTINENT SERIAL NUMBERED<br />

PARTS OR UNIT IDENTIFICATION NUMBERS CAME BACK AS NOT STOLEN, AND THE INFORMATION ABOVE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.<br />

LAW ENFORCEMENT AGENCY FILE NO. EXAMINING OFFICER’S SIGNATURE BADGE NO. DATE INSPECTED<br />

I CERTIFY THAT ON _____________ I DID AFFIX THE REPLACEMENT PLATE, CONTROL NUMBER ___________________________________ ISSUED BY THE<br />

DEPARTMENT OF REVENUE TO THE ABOVE WATERCRAFT, VESSEL TRAILER, AND/OR OUTBOARD MOTOR.<br />

LAW ENFORCEMENT AGENCY FILE NO. EXAMINING OFFICER’S SIGNATURE BADGE NO. DATE AFFIXED<br />

<strong>DOR</strong>-<strong>798</strong> (10-2012)


INSTRUCTIONS<br />

THIS AFFIDAVIT AND INSPECTION FORM MUST BE COMPLETED AND ACCOMPANY AN APPLICATION FOR TITLE IN THE FOLLOWING SITUATIONS:<br />

1) ANYTIME THE OWNER OF A VESSEL OR OUTBOARD MOTOR CANNOT OBTAIN SUFFICIENT PROOF OF OWNERSHIP FROM THE SELLER. (DEPENDING ON<br />

THE LATEST RECORDS ON FILE WITH THE MISSOURI DEPARTMENT OF REVENUE, THE APPLICANT MAY BE REQUIRED T OBTAIN A COURT ORDER TO<br />

DETERMINE OWNERSHIP.)<br />

2) WHEN APPLYING FOR A REPLACEMENT IDENTIFICATION NUMBER OR A NEW IDENTIFICATION NUMBER FOR A VESSEL, OUTBOARD MOTOR, OR A<br />

MANUFACTURED VESSEL TRAILER.<br />

3) THE FIRST TIME APPLICATION FOR TITLE IS MADE ON A HOMEMADE VESSEL OR OUTBOARD MOTOR.<br />

4) WHEN THE PROPERTY/LAND OWNER APPLIES FOR TITLE(S) FOR VESSELS/OUTBOARD MOTORS ABANDONED ON THEIR PROPERTY WITHOUT THEIR<br />

CONSENT.<br />

THE APPLICANT’S PORTION OF THIS FORM MUST BE COMPLETED AND SIGNED BY THE APPLICANT. A NOTARY PUBLIC MUST WITNESS THE APPLICANT’S<br />

SIGNATURE AND COMPLETE ALL NOTARY INFORMATION, ONLY WHEN OBTAINING A REPLACEMENT IDENTIFICATION NUMBER.<br />

WHO CAN COMPLETE THE INSPECTION PORTION OF THIS FORM?<br />

THE INSPECTION PORTION OF THIS FORM MAY BE PERFORMED BY ANY LAW ENFORCEMENT OFFICER EXCEPT THAT 1985 AND NEWER MODEL VESSELS<br />

MUST BE INSPECTED BY AN AUTHORIZED AGENT OF THE MISSOURI STATE WATER PATROL, MISSOURI STATE HIGHWAY PATROL, OR MISSOURI CONSERVATION<br />

COMMISSION.<br />

PROPERTY/LAND OWNERS — FOR AN ORIGINAL TITLE THIS FORM NEEDS TO BE COMPLETED BY AN AUTHORIZED INSPECTOR OF THE MISSOURI HIGHWAY<br />

PATROL OR MISSOURI WATER PATROL. FOR A SALVAGE TITLE OR JUNKING CERTIFICATE THIS FORM CAN BE COMPLETED BY ANY MISSOURI LAW ENFORCEMENT<br />

OFFICER (MISSOURI WATER PATROL, COUNTY SHERIFF OR LOCAL POLICE).<br />

TITLE CORRECTION — ANY AUTHORIZED LAW ENFORCEMENT — MISSOURI STATE HIGHWAY PATROL (MSHP), COUNTY SHERIFF, POLICE, ETC. NEW VIN FOR<br />

MANUFACTURED VESSEL TRAILER — ANY AUTHORIZED MOTOR VEHICLE INSPECTOR OR OFFICER OF THE MSHP — A MEMBER OF THE ST. LOUIS CITY OR<br />

COUNTY AUTO THEFT UNIT — MSWP OR MISSOURI CONSERVATION COMMISSION.<br />

TYPE OF ID PLATE TYPE OF UNIT <strong>DOR</strong>-<strong>798</strong> INSPECTION COMPLETED BY:<br />

MANUFACTURED BOAT/VESSEL 1985 AND NEWER: MISSOURI STATE WATER PATROL OR HIGHWAY PATROL<br />

(MOZA#) (MSWP/HP), OR MISSOURI CONSERVATION COMMISSION (MCC).<br />

OLDER THAN 1985: ANY LAW ENFORCEMENT<br />

HOMEMADE BOAT/VESSEL ALL HOMEMADE UNITS MSWP/HP OR MCC<br />

(MOZ#) OR OBM (OB#)<br />

MANUFACTURED OBM (OB#) ALL MANUFACTURED OBM’S ANY LAW ENFORCEMENT<br />

REPLACEMENT ID PLATE ALL UNITS MSWP/HP OR MCC<br />

ALL VESSLES THAT ARE 1973 OR NEWER NEED A 12 DIGIT HIN.<br />

WHAT DOCUMENTS AND FEES ARE REQUIRED?<br />

A. REPLACEMENT I.D. PLATE FOR ANY VESSEL — OUTBOARD MOTOR — VESSEL TRAILER<br />

THIS COMPLETED FORM — SIGNED BY APPLICANT AND NOTORIZED;<br />

COPY OF THE CERTIFICATE OF TITLE IN THE APPLICANT’S NAME; AND<br />

$10.00 (REPLACEMENT VIN PLATE FEE AND HIN/VIN/OBM).<br />

IF A CHANGE OF OWNERSHIP, THE HIN/VIN MUST ALSO BE SUBMITTED:<br />

PROPERLY ASSIGNED TITLE OR WHAT THE SELLING STATE REQUIRES AS PROOF OF OWNERSHIP;<br />

TITLE APPLICATION — (<strong>DOR</strong>-93) VESSEL & MOTOR — (<strong>DOR</strong>-108) VESSEL TRAILER;<br />

TITLE AND PROCESSING FEE — VESSEL $10.00 — MOTOR $7.50 — VESSEL TRAILER $11.00 — VESSEL LICENSE ID# (MO#)<br />

STATE AND LOCAL TAXES AND APPLICABLE TITLE PENALTIES IF A CHANGE OF OWNERSHIP.<br />

B. NEW I.D. PLATE FOR VESSEL — OUTBOARD MOTOR — VESSEL TRAILER (DOES NOT INCLUDE HOMEMADE TRAILER)<br />

THIS COMPLETED FORM;<br />

APPLICATION FOR TITLE — (<strong>DOR</strong>-93) VESSEL & OUTBOARD MOTOR — (<strong>DOR</strong>-108) VESSEL TRAILER;<br />

CERTIFICATE OF TITLE OR WHAT SELLING STATE REQUIRES AS PROOF OF OWNERSHIP<br />

TITLE AND PROCESSING FEE — VESSEL $10.00 — MOTOR $7.50 — VESSEL TRAILER $11.00 — VESSEL LICENSE ID# (MO#)<br />

$10.00 (VIN PLATE FEE OR REPLACEMENT VIN PLATE FEE AND PROCESSING FEE), IF APPLICABLE; AND<br />

STATE LOCAL TAXES AND APPLICABLE TITLE PENALTIES IF A CHANGE OF OWNERSHIP.<br />

C. TITLE CORRECTION<br />

THIS COMPLETED FORM;<br />

APPLICATION FOR TITLE — (<strong>DOR</strong>-93) VESSEL MOTOR — (<strong>DOR</strong>-108) VESSEL TRAILER;<br />

CERTIFICATE OF TITLE; AND<br />

$11.00 (TITLE AND PROCESSING FEE).<br />

D. PROPERTY/LAND OWNER ABANDONED PROPERTY<br />

THIS COMPLETED FORM — BY THE APPROPRIATE LAW ENFORCEMENT OFFICER LISTED ABOVE;<br />

APPLICATION FOR TITLE IN THE NAME OF THE PROPERTY/LAND OWNER — APPLICATION FOR MISSOURI BOAT/VESSEL OR OUTBOARD MOTOR TITLE<br />

AND REGISTRATION (<strong>DOR</strong> 93) FOR BOATS AND MOTOR OR APPLICATION FOR MISSOURI TITLE AND LICENSE (<strong>DOR</strong> 108) FOR VESSEL TRAILERS;<br />

GENERAL AFFIDAVIT (<strong>DOR</strong>768) (4) COMPLETED AND SIGNED BY THE PROPERTY/LAND OWNER;<br />

COPY OF THE NOTIFICATION LETTER NOTICE TO OWNER(S) AND/OR LIENHOLDER(S) REGARDING ABANDONED VEHICLE, ALL TERRAIN VEHICLE<br />

(ATV), VESSEL, WATERCRAFT, OUTBOARDMOTOR AND/OR TRAILER (<strong>DOR</strong>-5227) MAILED TO THE OWNER AND LIENHOLDER;<br />

COPY OF THE PROOF OF NOTIFICATION TO THE OWNER AND LIENHOLDER (SIGNED GREEN CERTIFIED CARD, ENVELOPE STAMPED “RETURN TO<br />

SENDER” OR A COPY OF THE COMPLETED POSTAL RECEIPT ALONG WITH A COPY OF THE POST OFFICE’S TRACK AND CONFIRM SHOWING THE<br />

LETTER WAS DELIVERED OR WAS RETURNED TO THE SENDER;<br />

TITLE AND PROCESSING FEE — VESSEL $10.00 — MOTOR $7.50 — VESSEL TRAILER $11.00; AND<br />

STATE AND LOCAL TAXES BASED ON THE RETAIL/FAIR MARKET VALUE INDICATED ON THE GENERAL AFFIDAVIT (TAXES ARE BASED ON THE ADDRESS<br />

WHERE THE UNIT WAS ABANDONED).<br />

<strong>DOR</strong>-<strong>798</strong> (10-2012)

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