Deletion from USCG Documentation

A vessel may be deleted from documentation upon the request of the vessel owner or an authorized agent on behalf of the owner. The request must be in writing and must include the vessel's official number and reason for deletion. The original Certificate of Documentation (COD) is to be returned by the owner named on the certificate. Please provide evidence of sale or transfer AND a statement indicating nationality of owner and/or country in which vessel will be flagged (in the event vessel is being sold to non-US citizen(s) or being flagged in a foreign country). Evidence of sale is required in the event vessel is sold foreign as per 46 CFRn67.171(c)(1). A Certificate of Documentation (COD) is invalid and the vessel subject to deletion from the roll of actively documented vessels when any of the situations listed in 46 CFR 67.171 occurs. THIS FORM IS FOR U.S. COAST GUARD DOCUMENTED VESSELS ONLY.

I. APPLICATION

VESSEL NAME AND OFFICIAL #*

2. Official Number or other unique identifer (ex. HIN)

3. Reason for Deletion*

AUTHORIZED SIGNATURE*

Signature*

Date

CAPACITY ( E.G., OWNER, AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER)*

II. CONSENT

As (on behalf) of the Mortgagee(s), (we) consent to withdrawal of the application for Documentation or exchange of the outstanding Certificate of Documentation

Email*

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Deletion of USCG Documentation

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Priority Request/Rush Processing

Abstract of title

Certified copy of documentation

Satisfaction of Mortgage

INSTRUMENT TYPE (CHECK ALL THAT APPLY)

PREFERRED MORTGAGE

CHATTEL MORTGAGE

AMENDMENT

ASSUMPTION

SUPPLEMENT

SUBORDINATION

ASSIGNMENT

OTHER (DESCRIBE)

NAME(S) AND ADDRESS(ES) OF GRANTOR(S) (MORTGAGOR(S), ASSIGNOR(S), ASSUMING PARTY(IES), OR OTHER(S)

GRANTOR. FOR PURPOSES OF THIS FORM, GRANTORS INCLUDE MORTGAGORS, ASSIGNORS, PERSONS ASSUMING MORTGAGES, PERSONS GRANTING SUBORDINATION OF MORTGAGES. LIST ALL GRANTORS AND ADDRESSES.

INTEREST OWNED IN VESSEL OR HELD IN MORTGAGE AFFECTED BY ATTACHED INSTRUMENT (100% UNLESS OTHERWISE STATED)

NAME(S) AND ADDRESS(ES) OF GRANTEE(S) (MORTGAGEE(S), ASSIGNEE(S), OR OTHER(S)

GRANTEE. FOR PURPOSES OF THIS FORM, GRANTEES INCLUDE MORTGAGEES, ASSIGNEES, PERSON FROM WHOM MORTGAGES ARE ASSUMED, AND PERSON TO WHOM SUBORDINATION OF MORTGAGES ARE GRANTED. LIST ALL GRANTEES AND ADDRESSES.

PERCENTAGE OF VESSEL MORTGAGED OR MORTGAGE ASSIGNED (100% UNLESS OTHERWISE STATED)

Amount

IF THE FOLLOWING INFORMATION IS UNKNOWN YOU MUST ORDER AN ABSTRACT OF TITLE UNDER ADDITIONAL SERVICES TOWARDS THE TOP OF THE PAGE.

RECORDED BOOK:

Page

FILE/RECORDED DATE:

TIME:

OTHER IDENTIFYING DATA:

Total

Delivery Method

Fax Number

Confirm Fax Number

Authorization*

I agree to pay the above total amount according to the card issuer agreement and hereby authorize the charge for the total amount above for the processing of selected USCG documents. I understand that my application will be processed in the order in which it is received. I understand that application and processing fees are non-refundable as per 46 CFR 67.500(e). By clicking the submit button you are agreeing to our terms and conditions. I understand that submitting another application for vessel documentation will supersede the current/pending application for that vessel.

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Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Shipping Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Deletion (COD)

I. APPLICATION

II. CONSENT

Satisfaction of Mortgage