Fillable Printable Form 2686 - Missouri Department Of Revenue
Fillable Printable Form 2686 - Missouri Department Of Revenue
Form 2686 - Missouri Department Of Revenue
Owner’s Name (Last, First, Middle)
Street Address County
City State Zip Code
__ __
Year Make Title Number Manufacturer’s Identification Number
__ __
Color Length Material Boat Type Engine Drive Type Propulsion Fuel Type Model Number Horsepower
__ __ __ __ __ Ft. __ __ In. __ __ __ __ __ __ __ __ __ __ __
Form
2686
Missouri Department of Revenue
Application for Boat, Vessel or Outboard
Motor Registration and Replacement Decal
Mail to:Motor Vehicle Bureau
P.O. Box 2046 Phone: (573) 526-3669
Jefferson City, MO 65105-2046 E-mail:[email protected]
Visit //dor.mo.gov/mvdl
for additional information.
Form 2686 (Revised 01-2017)
Validation Only
r
Watercraft Type of Application (Select One)
r
Outboard Motor
r
Renewal
r
Registration Only
r
Replacement Decal
r
Replacement Certificate Of Registration
Signature of Owner or Agent Date (MM/DD/YYYY)
__ __ /__ __ /__ __ __ __
Under penalties of perjury, I declare that the above information and any attached supplement is true, complete, and correct. As the owner of
the above mentioned vessel or outboard motor, I consent to any inspection necessary to determine compliance with provision 306.060, RSMo.
Signature
Applicant
Information
Boat, Vessel
and Motor
Notary Information
(Application must be notarized)
Subscribed and sworn before me, this
day of year
State County (or City of St. Louis) My Commission Expires (MM/DD/YYYY)
Notary Public Signature
Notary Public Name (Typed or Printed)
Embosser or black ink rubber stamp seal
__ __ /__ __ /__ __ __ __
• Any false statement in this application is a violation of the law and may be punished by fine or imprisonment or both.
• Application for replacement decal or registration card must be notarized.
•
The registration decals shall be affixed to the appropriate unit as follows:
Watercraft — Affix directly under the boat license identification number on both sides of the boat.
Outboard motor — Affix to motor where clearly visible.
• This receipt will be your temporary registration. A registration number card will be mailed to you upon approval of this
application. Carry this receipt on the vessel when in use until you receive your registration card.
Instructions
Type of Use (Select One) rPleasure
r
Rent or Lease
rDealer or
Manufacturer Demonstration
Fee Due
r
Charter Fishing
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Commercial Passenger
r
Commercial Fishing
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Commercial Other
Missouri Boat License Identification Number: MO
__ __ __ __ __ __Purchase Date (MM/DD/YYYY)
Watercraft or Outboard Motor Decal Number: _______________________ __ __ /__ __ /__ __ __ __
Reason for Replacement (If Applicable) Expiration Year
rLost
r
Stolen
r
Mutilated
r
Destroyed
r
Never Received
__ __ __ __
Registration and
Replacement Decal
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