Hampton Roads Documentation Services, Inc.

Documentation Application

Purchaser Name(s)

U.S. Citizen:  
Yes or No
Individual:  
Spouse or joint owner:  
Address:  
Corporation:  
Corporation Address:  
President:  
State of Incorporation:  
Quorum:  

Telephone Number(s) and Email Address

Work:  
Home:  
Fax:  
Email Address:  

Vessel Description

New, Used, Power or Sail
Builder:  
Year:  
Model/Length:  
Hull Number:  
State Registration Number:  
Official (Documentation) Number:  
Old Vessel Name:  
New Vessel Name:  
Hailing Port
(City and State TO BE MARKED ON TRANSOM):  

Seller Name(s)

Seller(s):  
Address:  
Telephone Number:  
Fax Number:  

Broker

Name:  
Address:  
Contact:  
Telephone Number:  
Fax Number:  

Bank Information

Lender:  
Address:  
Contact:  
Phone Number:  
Fax Number:  
Closing Date:  
Comments or questions:  



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Hampton Roads Documentation Services, Inc.
Donna B. Harmon, President
4900 Kemps Lake Drive
Virginia Beach, Virginia 23462
(757) 490-5999
(757) 490-4968 Fax

Cruise aboard the Bonny Blue

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