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Get and Sign Cg 1258 Help Applying Coastal Form 2020-2022
APPLICATIONS
A. VESSEL NAME (REQUIRED)
B. OFFICIAL # (IF AWARDED)
CLICK ICON TO ATTACH LIST OF ADDITIONAL VESSEL(S)
C. HULL ID # (IF ANY)
D. IMO # (IF ANY)
E. HAILING PORT INCLUDING STATE (TO BE MARKED ON VESSEL)
SOCIAL SECURITY OR TAX ID NUMBER (REQUIRED – 46 USC 12104):
F. NAME OF MANAGING OWNER
SSN:
E-MAIL ADDRESS:
TELEPHONE NUMBER:
G. PHYSICAL ADDRESS OF MANAGING OWNER (REQUIRED –
46 CFR 67.113)
TIN:
MAILING ADDRESS OF MANAGING OWNER (IF DIFFERENT THAN
PHYSICAL ADDRESS – E.G., P.O....
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