Manufacturer's Certification
Authorized Signature
Managing Director
Title
MANUFACTURER'S CERTIFICATE OF ORIGIN FOR A BOAT
DESCRIPTION OF BOAT
Hull ID:
CN ORP serial
Trade Name:
Hull Material:
Propulsion:
Length (L):
Aqua Marina
model
prop
length
Model Name:
Type of Boat:
Fuel:
Beam (W):
model
Inflatable Boat
Gasoline/Other
beam
U.S. Coast Guard Capacity Plate Information (where applicable):
Maxium Motor Power:
hp
Maximum Persons Capacity in Whole Persons:
max person
Maxium Weight Capacity:
max weight
Place of Construction:
People's Republic of China
The manufacturer further certifies that this was the first transfer of such new boat, and that all information given herein is true and accurate tot he best of his knowledge.
Company Name:
Street Address:
City, State, Zip:
Oriental recreational Products (Shanghai) Co., Ltd.
1899 Daye Road, Fengxian District
Shanghai, China, 201402
FIRST ASSIGNMENT
For Value Received, the undersigned hereby transfers this Statement of Origin and the boat described therein to:
Name: _________________________________________________________________________
Address: _______________________________________________________________________
and certifies that the boat is new and has not been registered in this or any other state; he also warrants the title of said boat at time of delivery, subject to the liens and encumbrances, if any, as set below:
Amount of Lien
________________
Date
____________
To Whom Due
________________
Address
________________________________
Dated: ___________________, 20 _____ at ____________________________________________
__________________________
Transferer (Firm Name)
__________________________
Sign Here
__________________________
Position
SECOND ASSIGNMENT
For Value Received, the undersigned hereby transfers this Statement of Origin and the boat described therein to:
Name: _________________________________________________________________________
Address: _______________________________________________________________________
and certifies that the boat is new and has not been registered in this or any other state; he also warrants the title of said boat at time of delivery, subject to the liens and encumbrances, if any, as set below:
Amount of Lien
________________
Date
____________
To Whom Due
________________
Address
________________________________
Dated: ___________________, 20 _____ at ____________________________________________
__________________________
Transferer (Firm Name)
__________________________
Sign Here
__________________________
Position
