1. Type or print in ink, except the signature.
2. Owner of boat must sign this application.
3. All blanks MUST be completed with the following exceptions:
a. Rental boats need not indicate propulsion, fuel and horsepower unless the engine is rented as part of the boat.
b. Dealer’s do not complete boat identification. One registration number is assigned per dealer.
4. If vessel is presently numbered, enter number in space provided on front.
5. If vessel is registered in your name, in another state, please send copy of registration from that state in lieu of a bill of sale.
Return Application with check or money order with the appropriate fee to :
Mississippi Department of Wildlife, Fisheries & Parks
Boat Registration Division
1505 Eastover Drive • Jackson, MS 39211-6374
FORM PROVIDED BELOW IS A VALID BILL OF SALE WHEN PROPERLY WITNESSED OR NOTARIZED
Make of Boat
Buyer: (Print) _________________________