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Mvd 10901 1997
Number
Boat Registration Number
Overall Boat
Length
ft.
Boat Beam
in. Width
ft.
Boat Transom
Depth
ft.
LIENHOLDER INFORMATION (IF APPLICABLE)
Lienholder's Name
Lien Maturity Date
Address
City, State, Zip Code
I HEREBY CERTIFY THAT ALL INFORMATION GIVEN ABOVE IS TRUE AND CORRECT TO THE
BEST OF MY KNOWLEDGE.
Printed Name of Applicant
Applicant's Signature
Date
V.I.N. OR H.I.N. INSPECTION (IF APPPLICABLE)
VEHICLE INSPECTIONS MUST BE CONDUCTED BY AN AUTHORIZED NEW MEXICO (OR OTHER...
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