Content Overview
The Mississippi Motor Boat form is an essential document for boat owners in the state, facilitating the registration process for various types of vessels. This application requires completion of all shaded areas and includes specific instructions for submission. Applicants must indicate whether they are submitting a new application, transferring ownership, renewing registration, or requesting a duplicate. Fees vary based on the length of the boat, with amounts clearly outlined for vessels under 16 feet, between 16 and 26 feet, and those over 26 feet. To ensure compliance, proof of Mississippi sales tax is required for boats purchased from dealers, along with a notarized bill of sale if acquired from an individual. Additionally, all boats must have a hull identification or serial number, and if absent, an inspection is necessary. The form also collects pertinent information about the applicant, including personal details and vessel specifications, ensuring that all ownership claims are verified and documented accurately. Proper completion of this form is vital for lawful operation and registration of motor boats in Mississippi, providing peace of mind to boaters as they navigate the waters.
Mississippi Motor Boat Preview
• ALL SHADED AREAS MUST BE COMPLETED • SEE BACK FOR INSTRUCTIONS •
FOR OFFICE USE
Date Received: ___________ Payment Type: __________ Payment Amount: $ _________
Less than 16 feet |
$10.20 |
MISSISSIPPI MOTOR BOAT |
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16 to less than 26 |
$25.20 |
REGISTRATION APPLICATION |
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26 feet and over |
$47.70 |
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Dealer number |
$40.20 |
5 ( *,6 75 $ 7,219$ / ,') 25 7+5 ( ( < ( $ 5 6 |
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Duplicate ..........$7.70 |
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Individual$ SS FDW RQ |
MS Registration Number
MI-
CHECK ONE
oNew Application o Transfer
o Renewal o Duplicate
Provide Proof of Mississippi Sales Tax to accompany all new and used boats purchased from an
Applicant First Name |
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Date of Birth |
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Home Phone |
Other Phone |
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Mailing Address |
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Driver’s License # or Social Security # |
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D.L. State |
Previous Owner |
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Date of Birth |
Driver’s License # or Social Security # |
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ALL BOATS MUST HAVE A HULL
IDENTIFICATION OR SERIAL NUMBER.
If not, boat must be inspected. Please call your local Regional Office for additional information.
Serial Number or 12 Digit Hull I.D. #
* APPLICANT’S SIGNATURE REQUIRED *
SIGN HERE
Signature Certifies Ownership |
Date |
By signing this application, I declare under penalties prescribed in the statutes of Mississippi, to the best of my knowledge and belief that I own the vessel described herein and that the description and all matters stated herein are true and correct.
Make of Boat
Boat Model
Model Year
Feet
Inches
Present Registration # on Boat
HULL MATERIAL |
PRIMARY OPERATION |
PROPULSION |
FUEL TYPE |
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TYPE OF VESSEL |
Paddlecraft |
ENGINE DRIVE |
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o Fiberglass |
o Pleasure |
o Air Thrust |
o Gasoline |
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o Open Motorboat |
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Inboard |
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o Aluminum |
o Rent or Lease |
o Manual |
o Diesel |
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o Cabin Motorboat |
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Air Boat |
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Outboard |
o Wood |
o Commercial Fishing |
o Propeller |
o Electric |
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o Auxiliary Sail |
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Pontoon Boat |
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Pod Drive |
o Steel |
o Other Cml Operation |
o Sail |
o Other |
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o Sail Only |
o |
Inflatable Boat |
o |
Stern Drive |
o Plastic |
o Cml Passenger Carry |
o Water Jet |
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o Personal Watercraft |
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Rowboat |
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Other |
o Rubber/ |
o Dealer or Mfr Demo |
o Other |
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o House Boat |
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Other |
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Vinyl/Canvas |
o Agency |
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o Other |
o Charter Fishing |
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Saltwater Fishing: q Yes q No |
U.S. Citizenship: q Yes |
q No |
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OPTIONAL INFORMATION
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Motor Serial Number |
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Manufacturer |
Model Year |
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Horse Power |
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Motor Serial Number |
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Manufacturer |
Model Year |
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Horse Power |
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Trailer Serial Number
Make check or money order payable to MS Dept. of Wildlife, Fisheries, and Parks • Boat Registration Div.• 1505 Eastover Drive • Jackson, MS
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DETACH AND KEEP WITH VESSEL UNTIL CERTIFICATE NUMBER IS RECEIVED
Name ________________________________________________ |
Street Address ____________________________________________ City ________________________ |
State ___________________ Zip Code _____________________ |
HIN or Serial Number _____________________________________________________________ |
Make of Boat ______________________________________ Propulsion _________________________________________ Length of Boat ___________________________
I hereby certify on ______________________________ , that I applied for certification of number for above described boat.
Valid for 60 days of issue. Carry on board when the vessel is being operated.
UNDER PENALTY OF PERJURY THIS INFORMATION IS TRUE AND CORRECT. ______________________________________________________________ |
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Revised 09/2016 |
Signature of Owner |
Date |
(OVER) |
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INSTRUCTIONS
1.Type or print in ink, except the signature.
2.Owner of boat must sign this application.
3.All shaded areas must be completed.
4.If vessel is presently numbered, enter number in space provided on front.
5.If vessel is registered in your name in another state, please send copy of registration from that state in lieu of a bill of sale.
All transfer and new boats are processed at MDWFP headquarters ONLY, address listed below.
Return Application with personal check, cashier’s check, or money order with the appropriate fee to the address listed below.
Mississippi Department of Wildlife, Fisheries, and Parks Boat
Registration Division
1505 Eastover Drive • Jackson, MS
FOR YOUR CONVENIENCE, YOU MAY USE THE AREA BELOW
AS A VALID BILL OF SALE WHEN PROPERLY WITNESSED OR NOTARIZED
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Serial Number or 12 Digit Hull ID # |
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Present Registration # |
Feet |
Inches |
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Make of Boat |
Boat Model |
Model Year |
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Buyer: (Print) |
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________________ |
________________ |
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Last Name |
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First Name |
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Initial |
Seller: (Print) |
________________ |
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________________ |
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Last Name |
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First Name |
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Initial |
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________________ |
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Last Name |
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First Name |
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Initial |
__________________________________ |
________________ |
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Seller’s Street Address |
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City |
State |
Zip Code |
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__________________________________ |
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________________________ _________ |
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Seller Signature |
Date |
Date |
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__________________________________ |
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________________________ _________ |
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Buyer Signature |
Date |
Witness Signature |
Date |
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SELLER(S) CERTIFY THAT STATEMENTS PROVIDED ON THE FRONT OF THIS APPLICATION FOR CERTIFICATION
OF REGISTRATION ARE TRUE AND ACCURATE TO THE BEST OF SELLER(S) KNOWLEDGE.
STATE OF: _______________________ |
COUNTY OF: _______________________ |
This day personally came and appeared before me, the undersigned stated that all of the matters, |
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things and facts set forth are true and correct as therein stated. |
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SWORN TO AND SUBSCRIBED BEFORE ME, this the ______________day of _____________, 20_____ |
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My Commission expires __________________ |
Notary Public |
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This Stub is to serve as your receipt until you receive your Certificate of Number. This must be kept with the vessel and available
for inspection by Law Enforcement Officers. Upon payment of fee this stub authorizes use of your vessel. Its validity may be verified at any time by Law Enforcement Officers. Make check or money order payable to the Mississippi Department of Wildlife,
Fisheries, and Parks. Record your check or money order number here ____________________________
Internet Boater Education Course • www.mdwfp.com • $15.00 (Online Fee)
Free
Call
File Features
| Fact Name | Details |
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| Application Types | The Mississippi Motor Boat Registration Application allows for new applications, transfers, renewals, and duplicates. |
| Registration Fees | Fees vary based on boat size: less than 16 feet is $10.20, 16 to less than 26 feet is $25.20, and 26 feet and over is $47.70. |
| Sales Tax Requirement | Proof of Mississippi sales tax payment is required for all new and used boats purchased from dealers. |
| Hull Identification | All boats must have a hull identification or serial number. If absent, the boat must undergo inspection. |
| Signature Requirement | The applicant's signature is mandatory to certify ownership and the accuracy of the information provided. |
| Notarization | A notarized or witnessed bill of sale must accompany applications if the boat is purchased from an individual. |
| Governing Law | This application is governed by Mississippi Code Title 59, which pertains to boating regulations and registration. |
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