Please enter your hull identification number
You may find it at the bottom of the capacity label on the stern of the boat.
Example: CN-XEE 12345J405
MANUFACTURER'S CERTIFICATE OF ORIGIN FOR A BOATDESCRIPTION OF BOAT |
| Hull ID: | XEE- | ||
| Trade Name: | INTEX | Model Name: | Seahawk 2 |
| Hull Material: | PVC (Polyvinyl Chloride) | Type of Boat: | Inflatable Boat |
| Propulsion: | Manual/Horsepower | Fuel: | Gasoline/Other |
| Length (L): | 93" (236cm) | BEAM (W): | 45" (114 cm) | DRAFT (H): | |
U.S. Coast Guard Capacity Plate Information (where applicable):
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 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 |
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 |