Advanced Elements AdvancedFrame AE1012 Manuale d'uso - Pagina 17
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Note: If your state requires the licensing of this boat, please use the form below. If you need any assistance filling
out this form, please contact Advanced Elements Customer Service Department.
FOR A VESSEL SOLD IN THE STATE OF_____________________________________
said manufacturer, has been transferred this _________day of _____________________, 20_________on
Invoice# _________________to:
Owner's/Dealer's Name_____________________________________________________________
Address___________________________________________________________________________
City, State, Zip______________________________________________________________________
Model Name
AdvancedFrame Kayak (AE1012)
®
Type: Kayak
Length Overall: 10'5"
U. S. Coast Guard Capacity Plate Information (where applicable):
Maximum persons capacity in whole persons: 235 lbs (107 kg)
Maximum weight capacity (persons & gear): 300 lbs (136 kg)
information given herein is true and accurate to the best of their knowledge
Signature_________________________________________________________________________________
FOR VALUE RECEIVED, in the amount of $ __________________________________________________,
to _______________________________________________________________________________________
Address __________________________________________________________________________________
Elements, Inc. 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
___________________
Dates___________________________ 20 _________, at _____________________ ____________________
___________________________ By:___________________________________________________________
Transferrer (Firm name) Sign Here ___________________________________________________________
Before me personally appeared _____________________________ who by me being duty 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
(SEAL)
MANUFACTURER'S STATEMENT OF ORIGIN
Hull Material: PVC/Polyester
Beam: 34"
P.O. Box 5128 Concord, CA 94524
FIRST ASSIGNMENT
Date
To whom Due
__________
__________________ ___________________________________
Model Year
__________
Address
Date commission expires_______________
, the property of
HIN# ___________________________
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