Read Rights of Survivorship; Ownership Agreement for a Boat and/or Outboard Motor text version

RIGHTS OF SURVIVORSHIP

Ownership Agreement for a Boat and/or Outboard Motor (PWD 790)

This form must be submitted with application(s) (Vessel/Boat Application-PWD 143 and/or Outboard Motor ApplicationPWD 144) and any required support documents and fees for the transaction(s) requested in addition to the Rights of Survivorship form. We, the persons whose signatures appear below, hereby agree that the ownership of the following described boat and/or outboard motor shall be held jointly. In the event of the death of either person, the ownership of the boat and/or outboard motor shall belong to the survivor. This authorization creates a joint ownership which shall be effective as of the date this form is presented and processed by either Texas Parks Wildlife Department or a participating county office. Any future transaction, such as a sale or transfer of the item, must bear the signatures of both owners until the Right of Survivorship is requested to be revoked or death of either party occurs.

Boat Information: TX#: TX -

HIN or Serial #: Year Built: MIN or Serial #: Year Built: Make: Make: HP:

Motor Information: TX#: M ­

(if known)

-

WARNING: Falsifying information on documents is a punishable offense. Texas Penal code, Chapter 37, Section 37.10. Any person who knowingly makes a false entry in, or false alteration of a governmental record is guilty of a felony of the third degree punishable by confinement in jail for any term of not more than 10 years or less than 2 years and punished by a fine not to exceed $10,000. I HEREBY CERTIFY THAT ALL STATEMENTS IN THIS DOCUMENT ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF.

Primary Owner Must Select One of the Following:

Co-Owner is the Spouse of Owner. Primary Owner is Not Married. Primary Owner is Married, Designating Co-Owner other than Spouse - Spouse's Letter Releasing Financial Interest in Vessel and/or Outboard Motor Must Be Attached.

Primary Owner's Signature: Name: Address: City, St, Zip:

Subscribed and sworn before me this _____ day of _________, 20____ Signature of Notary: ______________________________________ Name of Notary: ______________________________, __________________________ County, State of Texas. Notary Stamp/Seal:

Co-Owner's Signature: Name: Address: City, St, Zip:

Subscribed and sworn before me this _____ day of _________, 20____ Signature of Notary: ______________________________________ Name of Notary: ______________________________, __________________________ County, State of Texas Notary Stamp/Seal:

Texas Parks and Wildlife Department maintains the information collected through this form. With few exceptions, you are entitled to be informed about the information we collect. Under Sections 552.021 and 552.023 of the Texas Government Code, you are also entitled to receive and review the information. Under Section 559.004, you are also entitled to have this information corrected.

PWD 790 ­ A0900 (9/03)

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Rights of Survivorship; Ownership Agreement for a Boat and/or Outboard Motor

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