Notice of Claim Of Lien - Commercial Fishing Permits Center

VESSEL NAME

OFFICIAL NUMBER

CONFIRM OFFICIAL NUMBER

HULL ID NUMBER (HID) *IF APPLICABLE

PLEASE SPECIFY NAME OF CLAIMANT (INDIVIDUALS/ENTITIES WHO ARE OWED MONEY)

First Last

PLEASE ENTER ADDRESS OF CLAIMANT (INDIVIDUALS/ENTITIES WHO ARE OWED MONEY)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

ENTER AMOUNT OF CLAIM

DATE OF CLAIM

PLEASE DESCRIBE THE NATURE OF LIEN CLAIMED

ACKNOWLEDGMENT OF ACCURACY

I DECLARE THE INFORMATION STATED ABOVE TO BE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE, INFORMATION, AND BELIEF.

NOTICE OF CLAIM OF LIEN( NCL)

Price:

Test

Price:

PLEASE SELECT ANY ADDITIONAL SERVICES YOU WISH TO ADD TO HAVE PROCESSED

Priority Request/Rush Processing
Abstract of Title
Certified Copy of COD

Priority Request/Rush Processing

Price:

Abstract of Title

Price:

Certified Copy of COD

Price:

ADVANCED RENEWAL MESSAGE

You can eliminate the possibility of late fees, as well as reinstatement fees, by paying your yearly renewal documentation in advance. Your certificate of documentation will be automatically renewed each year, for the number of years selected, by Federal Commercial Fishing Permits Center, a private documentation firm.

NOTE: The NVDC only issues their vessel renewals for a period/duration of one year each. 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 time of renewal(s). This may require that the vessel owner update their current address to facilitate the renewal process.

USCG RENEWAL DOCUMENTATION ADVANCED PAYMENT OPTION

No Additional Years
1 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)

Total

$225.00

Signature*

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 Federal Commercial Fishing Permits Center, 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 Federal Commercial Fishing Permits Center's no refund policy and as per 46 CFR 67.500(e)

Credit Card

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YOUR BILLING ADDRESS*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Your Name*

First Last

Email*

Enter Email Confirm Email

Phone*

Credit Card

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name