ABSTRACT OF TITLE NVDCINST 16713/1-3 OMB No. 1625-0027 Your InformationYour Name* First Last CompanyPhone*(###) ###-####FaxEmail* Enter Email Confirm Email Please Specify Delivery Method*EmailFaxTEST USCG Abstract of Title Price: $0.51 USCG Abstract of Title Price: $75.00 Official Number*Enter the Vessel Official NumberPlease Confirm Official Number*Please Select Vessel Use Recreational Commercial PLEASE SELECT ANY ADDITIONAL ABSTRACTS OF TITLE (A/T) YOU WISH TO HAVE PROCESSEDNoneOne Additional A/T (+$75)Two Additional A/T (+$150)First Additional A/TFirst Additional A/T* Price: $75.00 Please Select Vessel Use Recreational Commercial Official Number*Enter the Vessel Official NumberSecond Additional A/TSecond Additional A/T* Price: $75.00 Please Select Vessel Use Recreational Commercial Official Number*Enter the Vessel Official NumberPlease select any additional services you wish to have processed Priority Request/Rush Processing Certified Copy (COD) Priority Request/Rush Processing* Price: $75.00 Certified Copy (COD)* Price: $75.00 USCG RENEWAL DOCUMENTATION ADVANCED PAYMENT OPTION*No Additional Years1 year renewal (additional $75.00)2 year renewal (additional $150.00)3 year renewal (additional $225.00)4 year renewal (additional $300.00)5 year renewal (additional $375.00)NOTE: Your yearly certificate will be valid for one year only. You will receive one (1) Year long certificate each year, depending on how many additional years you have ordered. For each individual year of renewal, a new renewal will be AUTOMATICALLY forwarded to your designated address at the time of renewal(s). This may require that the vessel owner update their current address to facilitate the renewal process.Total $0.00 Signature*CAPACITY OF PERSON SIGNING (E.G., OWNER, AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER)*Date Date Format: MM slash DD slash YYYY AUTHORIZATION* I agree to pay the above total amount according to the card issuer agreement and hereby authorize the charge for the total amount above for the processing of selected USCG documents. I understand that my application will be processed in the order in which it is received by Vessel Documentation Portal, a private fee for service documentation company, not owned or operated by any governmental agency. I understand that application and processing fees are non-refundable as per Vessel Documentation Portal's no refund policy and as per 46 CFR 67.500(e) PAYMENT INFORMATION* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name HAVING TROUBLE? 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