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Owner's Name
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Åland Islands
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Algeria
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Angola
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Congo, Republic of the
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Croatia
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Cyprus
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Denmark
Djibouti
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Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
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Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
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Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
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Ghana
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Guinea-Bissau
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Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
Phone Number
Email
*
Boat Info
Year
Make
Model
Color
Expires
Engine Info
Year
Make
Model
Hours
Trailer Info
Year
Make
Model
# Axles
When is the last time you ran your boat?
Last replaced impeller?
Describe how it ran last.
Describe any and all issues with your Boat/Engine/Trailer.
Rating Key
Rate each of the following from 1 (Poor) to 10 (Excellent).
Overall Boat Condition
1
2
3
4
5
6
7
8
9
10
Fiberglass Condition
1
2
3
4
5
6
7
8
9
10
Gelcoat Condition
1
2
3
4
5
6
7
8
9
10
Upholstery Condition
1
2
3
4
5
6
7
8
9
10
Carpet Condition
1
2
3
4
5
6
7
8
9
10
Canvas Condition
1
2
3
4
5
6
7
8
9
10
Boat Electrical
1
2
3
4
5
6
7
8
9
10
Engine Mechanical
1
2
3
4
5
6
7
8
9
10
Steering Controls
1
2
3
4
5
6
7
8
9
10
Shift/Throttle Controls
1
2
3
4
5
6
7
8
9
10
Trailer Bunks/Carpet
1
2
3
4
5
6
7
8
9
10
Trailer Lights/Lenses
1
2
3
4
5
6
7
8
9
10
What equipment will you include with your boat:
What would make your boat a perfect "10"?
Do you own a transferable protection plan?
Yes
No
Protection Plan Company
Protection Plan Expiration Date
Do you owe money on your boat?
Yes
No
Bank
Balance ($)
Ideal Net Amount ($)
*
The ratings above reflect, to the best of my knowledge, both the cosmetic and mechanical condition of my boat.
*
Yes
I understand that allowance adjustments may occur if my boat condition is different than represented upon inspection.
*
Yes
