SOUTH DAKOTA BOAT REGISTRATION APPLICATION
DMV COPY
AND TRANSFER OF OWNERSHIP FORM
See instructions and fees on reverse side
PLEASE PRINT
DATE
Fee ID
SD BOAT (TITLE NUMBER)
This application is for (Check Only One)
o
o
Transfer
Abandoned
o
o
New
Operation by Law
Reg. Yr.
o
o
Out of State
Repossession
DECAL NUMBER ASSIGNED
o
o
Interstate
Title Only
Reg. Co. No.
NOTE: If applying for a “Title Only” in signing this application you are attesting that this boat
will not be used upon the waters of this state or any other state.
1-4 Owner/Co-Owners or Lessor
Owners Name: (Last, First, Middle); a-d Description of type of ownership (and/or DBA, WROS, Guardianship, etc.)
1.
a.
3.
c.
2.
b.
4.
d.
(Owner/Lessor Address)
(Lessee Address)
Title
Co. No.
Address
Address
City
Zip + 4
City
Zip + 4
State
State
BOAT HULL IDENTIFICATION NUMBER
Hull Material
Make of Boat
Year
Length
Boat Code
Boat Color(s)
Propulsion
Type of Use
Type of Boat
Prev State
Circle One
Circle One
Circle One
Circle One
1. Open
1. Pleasure
1. Outboard
2. Cabin
1. Wood
2. Rental
2. Inboard/
3. House
2. Aluminum
3. Govern-
Ft. ____ In.
_____
Outboard
B
3. Steel
4. Canoe
ment owned
3. Inboard
5. Inflatable
4. Fiberglass
4. Other__
4. Sailboat with
5. Other ________
6. Kayak
_________
motor
7. Sailboard
(Specify)
_____________
5. Non-motorized
(Specify)
8. Other_______
(Specify)
Dealer Price Certification: I hereby certify that the purchase price and trade-in allowance shown on this application is correct.
Dealer Name and Signature of Dealer or Dealer’ s Agent
1. Purchase Price (see reverse side)...................................... $ ______________
Bill of Sale Not Available _____
Purchased from
2. Less Trade-in Allowance ................................................. $ ______________
Name
3. Difference ........................................................................ $ ______________
Zip
Address
City
State
4. Tax 3% of Line 3............................................................. $ ______________
Trade In
5. Credit for Tax Paid to Another State ............................... $ ______________
Year
Make
Hull ID Number
S.D. Title No.
6. Title Fee and Penalty Fee ................................................. $ ______________
IMPORTANT: Original title will be mailed to the owner unless otherwise indicated.
CHECK ONE: o Mail to Lienholder
o Mail to Owner
7. License Fee ....................................................................... $ ______________
8. Balance Due ...................................................................... $ ______________
1st Lienholder _______________________________________________________
PENALTY: Any person failing to pay the full amount of excise tax is subject to a
Mailing Address _____________________________________________________
Class 1 misdemeanor.
TAX EXEMPT (If claiming exemption, list exemption # from
City ____________________________________ State ________ Zip _________
Section I on back of form.)
2nd Lienholder ______________________________________________________
The applicant, under the penalties of law and as rightful owner of
Mailing Address _____________________________________________________
the boat described on this application, declares that the informa-
tion set forth on this application is true and correct.
City ____________________________________ State ________ Zip _________
Note any additional liens on reverse side
APPLICATION MUST BE DATED WHEN SIGNED.
If boat is co-owned, all owners must sign. If boat is company-
owned, company name and title of authorized agent signing
X
/
/
the application must be noted.
Signature
Date
X
/
/
Signature
Date
PENALTY: Any person who intentionally falsifies information on the certificate is guilty of a Class 6 Felony.