Stearns Boat B524 Benutzerhandbuch

The undersigned manufacturer hereby certifies that the new boat described below, the property of
said manufacturer, has been transferred this ______ day of __________________, 20________ on
Invoice # _______________ to:

Owner’s/Dealer’s Name ______________________________________________________
Address____________________________________________________________________
City, State, Zip ______________________________________________________________

Model Name

Model Year

Manufacturer’s Hull Identification #

❑ Cordova (B524)

_________

HIN # _______________________

Type:  Kayak

Hull Material:  ________________________

Length Overall:  _____    ____

Beam:         _    __   

Built for:  Pleasure Use

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

Maximum persons capacity in whole persons           ___
Maximum weight  capacity (persons & gear)       __      

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 their knowledge

1100 Stearns Drive • Sauk Rapids, MN 56379

_________________________________________________________________________________

Signature

FOR VALUE RECEIVED, in the amount of $ _____________________________________________,
the undersigned hereby transfers the Certificate of Origin and the boat described therein                        
to ______________________________________________________________________________
Address __________________________________________________________________________
and certifies that the boat is new and has not been registered in this or any other state; Stearns

®

also

warrants the title of said boat at time of delivery, subject only to the liens and encumbrances as set
out below:
Amount of Lien        Date               To Whom Due                   Address 
_____________      _________      __________________      _______________________________
Dates ____________________  20 ______, at ______________________   ___________________
_____________________ By: ______________________________________________
Transferrer (Firm name) Sign Here ___________________________  Position __________________ 
Before me personally appeared ________________________ who by me being duly sworn under
oath says the statements set forth above are true and correct. Subscribed and sworn to me before
this ________ day of ____________________________ 20 ________.

_______________________________ Notary Public            Date commission expires ____________ 
(SEAL)                              

AD1004