Boat Certificates - Sport Series - Challenger 3

MANUFACTURER'S CERTIFICATE OF ORIGIN FOR A BOAT

DESCRIPTION OF BOAT

Hull ID:	XEE-{{form.hullID}}
Trade Name:	{{boatCertificateData.trade_name}}	Model Name:	{{boatCertificateData.model_name}}
Hull Material:	{{boatCertificateData.hull_material}}	Type of Boat:	{{boatCertificateData.type_of_boat}}
Propulsion:	{{boatCertificateData.propulsion}}	Fuel:	{{boatCertificateData.fuel}}

Length (L):

BEAM (W):

DRAFT (H):

U.S. Coast Guard Capacity Plate Information (where applicable):

Maximum Horsepower Rating: {{boatCertificateData.max_horsepower_rating}} HP
Maximum Persons Capacity in Whole Persons: {{boatCertificateData.max_persons_capacity}}
Maximum Weight Capacity (persons, motor, gear, etc): {{boatCertificateData.max_weight_capacity_lbs}} LBS

Place of Construction: {{boatCertificateData.place_of_construction}}

The manufacturer further certifies that this was the first transfer of such new boat, and that all information given herein is true and accurate to the best of his knowledge.

Company Name:	Intex Recreation Corp.
Street Address:	4001 Via Oro Ave., Suite 210
City, State, Zip:	Long Beach CA 90810

Manufacturer's Certification

Authorized Signature

ASSISTANT GENERAL MANAGER
Title Or Position

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