Fillable Printable Form 93 - Missouri Department Of Revenue

Form 93 - Missouri Department Of Revenue

ANY FALSE STATEMENT IN THIS APPLICATION IS A VIOLATION OF LAW AND MAY

BE PUNISHED BY FINE OR IMPRISONMENT OR BOTH.

TRANS TYPE

BOAT/VESSEL

OUTBOARD MOTOR

TITLE ONLY

TITLE AND

REGISTRATION

INSTRUCTIONS ON REVERSE

DOR USE ONLY - REJECT NUMBER

TITLE AND NOTICE OF LIEN

(NO COMPLETE CHANGE OF OWNERSHIP)

OWNER

OWNER’S NAME - LAST, FIRST, MIDDLE (ONLY FIRST 38 POSITIONS WILL PRINT ON TITLE) INCLUDING TOD TOD BENEFICIARIES, IF APPLICABLE

STREET ADDRESS (MUST BE A PHYSICAL ADDRESS - CANNOT BE A P.O. BOX OR RURAL ROUTE) COUNTY

IN CITY LIMITS OUTSIDE CITY LIMITS

L/R NUMBER

CITY STATE ZIP CODE DLN NUMBER DATE OF BIRTH TELEPHONE NUMBER

UNIT

YEAR MFD. MODEL YEAR - NEW

OUTBOARD MOTOR ONLY

MAKE MANUFACTURER’S HULL IDENTIFICATION NUMBER MODEL NUMBER

HORSEPOWER COLOR LENGTH MATERIAL BOAT TYPE ENGINE DRIVE TYPE TYPE OF PROPULSION

NEW USED MO USED OUT-OF-STATE SURRENDERED TITLE NUMBER STATE FUEL FIRST FOUR LETTERS OF

PREVIOUS OWNER’S

LAST NAME

BOAT/VESSEL LICENSE

I.D. NUMBER

TYPE OF USE (CHECK ONE) BOAT/VESSEL/OUTBOARD MOTOR DECAL NUMBER EXPIRATION YEAR

| | | | | | | | | | | | |

G - GAS E - ELECTRIC

D - DIESEL O - OTHER

PLEASURE RENT/LEASE COMMERCIAL FISHING

CHARTER FISHING COMMERCIAL PASSENGER CARRYING

COMMERCIAL OTHER DEALER OR MANUFACTURER DEMONSTRATION

FT. IN.

LIEN/MAIL TO

FIRST LIEN

YES NO

SECURITY AGREEMENT DATE MAIL TO LIENHOLDER

(B)

LIENHOLDER’S PHONE NUMBER SECOND LIEN

YES NO

MAIL TO ALTERNATE ADDRESS BELOW. DO NOT USE

IF SECOND LIEN OR SUBJECT TO FUTURE ADVANCES.

FIRST LIEN SECOND LIEN/MAIL TO SECURITY AGREEMENT DATE

STREET ADDRESS, R.R., OR P.O. BOX NUMBER STREET ADDRESS, R.R., OR P.O. BOX NUMBER PURCHASE DATE

CITY STATE ZIP CODE CITY STATE ZIP CODE

1 2

STFA

TRADE-IN

YEAR MAKE TITLE NUMBER MANUFACTURER’S I.D. NUMBER

FIRST LIENHOLDER AUTHORIZES SECOND LIEN BY SIGNING HERE

OWNER

SIGNATURE

I CERTIFY THAT THE STATEMENTS HEREIN ARE TRUE TO THE BEST OF MY

KNOWLEDGE. AS THE OWNER OF THE ABOVE MENTIONED BOAT/VESSEL

OR OUTBOARD MOTOR, I CONSENT TO ANY INSPECTION NECESSARY TO

DETERMINE COMPLIANCE WITH PROVISIONS OF 306, RSMo.

SIGNATURE OF ONE OWNER REQUIRED

DEALER

MISSOURI BOAT DEALER NUMBER BOAT DEALER NAME CITY, STATE AND ZIP CODE TELEPHONE NUMBER

I CERTIFY THAT THE FACTS HEREIN ARE

TRUE TO THE BEST OF MY KNOWLEDGE.

SIGNATURE OF DEALER OR REPRESENTATIVE TRADE-IN

YES NO

NOTARY DUPLICATE

TITLE ONLY

DUPLICATE TITLE ONLY — CHECK THE APPROPRIATE BOX LOST STOLEN MUTILATED (ATTACH MUTILATED TITLE) NEVER RECEIVED — LOST IN MAIL

NOTARY PUBLIC EMBOSSER OR BLACK RUBBER STAMP SEAL STATE COUNTY (OR CITY OF ST. LOUIS)

SUBSCRIBED AND SWORD BEFORE ME, THIS

DAY OF

NOTARY PUBLIC SIGNATURE MY COMMISSION EXPIRES

NOTARY PUBLIC NAME (TYPED OR PRINTED)

OFFICE VALIDATION ONLY

APPROVE

REJECT

SITE CODE

PROCESSED BY

MISSOURI CITY OR COUNTY

WHERE THE UNIT IS HOUSED

SHADED BOXES FOR BOAT/VESSEL ONLY

Form 93 (Revised 01-2017)

Form

Missouri Department of Revenue

Application for Missouri Boat/Vessel or

Outboard Motor Title And Registration

ORIGINAL (1) DUPLICATE (2) REPOSSESSION (3) CORRECTED (5) MECHANIC LIEN (8) SALV. ABAND (9) DUPLICATE SALV. ABAND. (0) JUNK (A) DUP. JUNK (B)

TRANSFER ON

DEATH (TOD)

TENANTS

IN COMMON

PRICE

REBATE

TRADE-IN

OTHER CREDIT

NET PRICE

FEES

REGISTRATION FEE

MOZ

MOZA

REPLACEMENT

NUMBER FEE

TITLE PENALTY

TITLE/QUICK FEE

STATE TAX

LOCAL TAX

PROCESSING OR AGENT FEE

NOL PROCESSING FEE

TOTAL

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Print Form

Reset Form

CLICK HERE for instructions before printing this form.

ENTER 2 LETTER

ABBREVIATION

ENTER 2 LETTER

ABBREVIATION

CLICK ON FUEL TYPE

ENTER 2 LETTER

ABBREVIATION

ENTER 2 LETTER

ABBREVIATION

0.00

CLICK HERE for information regarding state and local taxes.

0.00

Form 93 (Revised 01-2017)

REQUIRED DOCUMENTS

Check or money order may be accepted as payment. Make the check or money order payable to: Missouri Department of Revenue. The check must be

preprinted with the check writer’s name and address, bank code, and account number.

It must also include the following information regarding the check writer: driver license or nondriver license number, date of birth, and daytime phone number.

DO NOT SEND CASH WHEN APPLYING BY MAIL.

THE MISSOURI DEPARTMENT OF REVENUE MAY ELECTRONICALLY RESUBMIT CHECKS RETURNED FOR INSUFFICIENT OR UNCOLLECTED

FUNDS. Other restrictions may also apply.

PAYMENT METHODS

1. Boat/vessel - The decals are always issued in a set of two and

must be affixed to both sides of the bow of the boat/vessel. These

decals must be renewed every three years.

2. Outboard Motor - The decal must be affixed to the motor where visible.

This decal does not require renewal.

AFFIXING DECALS

TITLE PENALTY: A TITLE PENALTY FEE OF $10.00 FOR EACH 30 DAYS OF DELINQUENCY, NOT TO EXCEED A TOTAL OF $30.00, SHALL BE

IMPOSED FOR FAILURE TO APPLY FOR A CERTIFICATE OF TITLE WITHIN 60 DAYS AFTER PURCHASE.

COMPLETING THE TITLE APPLICATION

Please follow the order of the instructions provided below, beginning with

TRANSACTION TYPE, when completing your application. If there is no

instruction for a particular field, simply provide the information requested,

such as OWNER’S NAME.

Instructions:

1. TRANSACTION TYPE - Choose either “Boat/Vessel” or “Outboard

Motor” by checking the appropriate block. Choose either “Title

Only” (only if you are not purchasing a registration decal) or “Title and

Registration” by checking the appropriate block.

2. TITLE TYPE - Check the appropriate block indicating type of title required.

3. STREET ADDRESS - You must provide your actual physical street

address in order to determine the correct tax rate. PO box numbers

and rural routes are not a physical address and cannot be used for a

street address but can be used as a “Mail To” address.

4. TRANSFER ON DEATH - To name one or more beneficiaries on the

title in the event of the owner’s death, check this block. Record the

beneficiaries name(s) in the designated area following the vehicle

owner’s name. TENANTS IN COMMON - If the application shows

two or more owners, the unit will be held in joint tenancy. If this is not

desired, the tenants in common block must be marked.

5. IN CITY LIMITS/OUTSIDE CITY LIMITS - Check the appropriate box if

you live inside or outside city limits. If you are an out-of-state resident,

fill in the block at the bottom of the application to indicate the Missouri

city or county where the unit is housed.

6. DLN or FEIN/DOB - Record the Driver License or Federal Employer

Identification Number and Date of Birth (DOB) of the first listed owner.

7. YEAR MFD. - Record the model year or program year. For new

outboard motors, if model year or program year is NOT shown on the

Manufacturer’s Statement of Origin (MSO), record the year of

manufacture as follows: If month of manufacture indicates January

through June, record the year of manufacture as shown. If month

of manufacture indicates July through December, record the calendar

year immediately following the year of manufacture.

8. MODEL YEAR - NEW - To be used for new outboard motors only.

Model Year - New is the year that the dealer received the new outboard

motor from the manufacturer.

9. MANUFACTURER’S HULL IDENTIFICATION NUMBER - For boat/

vessel include the year, make, hull identification number (12 digits on

boats), model number, horsepower of motor, color, length, material,

boat type, engine drive type (Inboard, Outboard, Pod Drive, Sterndrive,

or other) and type of propulsion (Air Thrust, Manual, Propeller, Sail,

Water Jet, or Other). For outboard motors include the year

manufactured, model year-new, make, identification number, model

number, horsepower, and color. If you hand write the application,

record only one character in each block within the “Manufacturer’s Hull

Identification Number” block. Please write legibly.

10. NEW - Check if the unit is new.

11. USED MO - Check if the purchase of the unit was recorded on a Missouri title.

12.

USED OUT-OF-STATE - Check if the purchase of the unit was recorded

on an out-of-state title or bill of sale.

13. SURRENDERED TITLE NUMBER STATE - If a title is being surrendered,

fill in the title number and the state in which the title was issued. If a

Missouri title, enter the first four letters of the owner’s last name. If the

unit is new, record “MSO” in the surrendered title number block.

14. TYPE OF USE - Mark the type of usage of the boat/vessel.

15. FIRST LIEN - If the unit has an outstanding lien, check “Yes” and record

the complete name and address of the lienholder. The “FIRST LIEN”

block must be checked and the date of lien indicated. A title showing

a lien will be mailed to the owner. If there is no lien, check “No.”

16. SECOND LIEN - If adding a second lien, check “Yes” and record the

complete name and address of the lienholder. The “SECOND LIEN”

block must be checked and the date of lien indicated.

17. MAIL TO - If the unit is not subject to a second lien or the first lien

is not subject to future advances, and the title is to be sent to an

address other than the address shown in the owner information

section, the “Mail To” block must be checked and the name and

address of the individual who is to receive the title must be indicated

in the #2 block in the “Lien/Mail To” section.

18. PURCHASE DATE - Record the date the unit was purchased.

19. TRADE-IN - If another unit was given as a trade-in, record the year,

make, title number, and manufacturer’s hull identification number of

that unit.

20. SIGNATURE - ONE OWNER MUST SIGN THE APPLICATION FOR

TITLE.

ALL INCORRECT OR INCOMPLETE APPLICATIONS WILL BE REJECTED.

DUPLICATE TITLE

Section 301.300, RSMo, provides for the issuance of a duplicate title in the

event of the loss, mutilation, or destruction of any certificate of ownership.

To apply for a duplicate certificate of ownership, complete the application in

full, including the information below.

1. Duplicate Title Only - Check the appropriate block indicating the

reason a duplicate title is needed.

2. Notary Information - The applicant’s signature must be witnessed

by a notary public if applying for a duplicate title.

NOTE: If a lien is shown on the original title and the loan was

satisfied on or after July 1, 2003, you must submit a notarized

Lien Release (DOR-4809), with the Application for Title. Submit

the required items and fees to your local license office or mail to:

Motor Vehicle Bureau, P.O. Box 100, Jefferson City, MO 65105-0100.

DIRECT INQUIRIES TO (573) 526-3669 OR VISIT OUR WEB SITE

AT: www.dor.mo.gov/motorv/. REMEMBER TO SIGN THE APPLICATION

AND SUBMIT THE APPROPRIATE OWNERSHIP DOCUMENT, TITLE

FEE, AND APPLICABLE PROCESSING FEES. (FEES ARE POSTED AT

www.dor.mo.gov/motorv/.)

Application for Title and Registration completed and signed by the applicant.

Copy of front and back of title assigned to dealer for trade-in vehicle or

bill of sale or total loss statement for tax credit, if applicable.

Appropriate fees.

Acceptable proof of ownership.

Boat/vessel — paid personal property tax receipt or a statement of non-

assessment from the county (or city of St. Louis) collector or assessor

for the previous year. The property tax receipt or statement of non-

assessment must be in the owner’s name.

THE DECAL(S) ASSIGNED SHALL BE AFFIXED TO THE APPROPRIATE UNIT AS FOLLOWS