Advanced Elements Lagoon2 AE1033 Owner's Manual

Contents

Advanced Elements Lagoon2 AE1033 Owner's Manual Manual pdf 17 page image

Note: If your state requires the licensing of this boat, please use the form below. If you need any assistance fillingout this form, please contact Advanced Elements Customer Service Department.MANUFACTURER’S STATEMENT OF ORIGINFOR A VESSEL SOLD IN THE STATE OF_____________________________________The undersigned manufacturer hereby certifies that the new boat described below, the property ofsaid manufacturer, has been transferred this _________day of _____________________, 20_________onInvoice# _________________to:Owner’s/Dealer’s Name_____________________________________________________________Address___________________________________________________________________________City, State, Zip______________________________________________________________________Model Name Model Year Manufacturer’s Hull Identification#m Lagoon2™ Kayak (AE1033) __________ HIN# ___________________________Type: Kayak Hull Material: PVC/PolyesterLength Overall: 12’ Beam: 35”U. S. Coast Guard Capacity Plate Information (where applicable):Maximum persons capacity in whole persons: 350 lbs (159 kg)Maximum weight capacity (persons & gear): 350 lbs (159 kg)The manufacturer further certifies that this was the first transfer of such new boat and that allinformation given herein is true and accurate to the best of their knowledgeTMP.O. Box 5128 Concord, CA 94524Signature_________________________________________________________________________________FIRST ASSIGNMENTFOR VALUE RECEIVED, in the amount of $ __________________________________________________,the undersigned hereby transfers the Certificate of Origin and the boat described thereinto _______________________________________________________________________________________Address __________________________________________________________________________________and certifies that the boat is new and has not been registered in this or any other state; AdvancedElements, Inc. also warrants the title of said boat at time of delivery, subject only to the liens andencumbrances as set out below:Amount of Lien Date To whom Due Address___________________ __________ __________________ ___________________________________Dates___________________________ 20 _________, at _____________________ _______________________________________________ By:___________________________________________________________Transferrer (Firm name) Sign Here ___________________________________________________________Before me personally appeared _____________________________ who by me being duty sworn underoath says the statements set forth above are true and correct. Subscribed and sworn to me beforethis __________ day of _____________________________ 20 ___________.___________________________________Notary Public Date commission expires_______________(SEAL)

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