{"id":4486,"date":"2020-12-05T19:59:20","date_gmt":"2020-12-05T19:59:20","guid":{"rendered":"https:\/\/commercialfishingpermits.us\/cfpc\/?page_id=4486"},"modified":"2020-12-12T20:16:33","modified_gmt":"2020-12-12T20:16:33","slug":"change-of-vessel-name-or-hailing-port","status":"publish","type":"page","link":"https:\/\/commercialfishingpermits.us\/cfpc\/united-states-coast-guard-documentation\/change-of-vessel-name-or-hailing-port\/","title":{"rendered":"Change of Vessel Name or Hailing Port"},"content":{"rendered":"<p><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_182' style='display:none'><div id='gf_182' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <p class='gform_description'>VESSEL NAME OR HAILING PORT CHANGE<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_182'  action='\/cfpc\/wp-json\/wp\/v2\/pages\/4486#gf_182' data-formid='182' novalidate>\n        <div id='gf_progressbar_wrapper_182' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<h3 class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>3<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_33' style='width:33%;'><span>33%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_182_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><ul id='gform_fields_182' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_182_67\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p style=\"font-size:1.4rem\">Once your application has been submitted, our specialists will review the accuracy of your document. We will\nthen contact you to ensure the integrity of the submitted data. This form\nis secure, protected by SSL encryption, so your personal\ninformation is safe.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"color: red;\"><strong>ANY ADDITIONAL CHANGES APART FROM VESSEL NAME CHANGE OR HAILING PORT CHANGE WILL REQUIRE ADDITIONAL FEES.<\/strong><\/p>\n<p>&nbsp;<\/p>\nNOTE: FILING THIS APPLICATION DOES NOT ENTITLE A VESSEL TO DOCUMENTATION OR TO ANY CHANGES DESIRED ON A CERTIFICATE OF DOCUMENTATION. OFFICIAL NUMBERS DESIGNATED ON THE BASIS OF THIS APPLICATION ARE NOT TRANSFERABLE. ONLY A CURRENT CERTIFICATE OF DOCUMENTATION IS VALID FOR VESSEL OPERATION.\n<p style=\"color:red;\">IF YOUR USCG (CERTIFICATE OF DOCUMENTATION) IS PAST 30 DAYS BEYOND ITS DATE OF EXPIRATION, YOU MUST REINSTATE YOUR DOCUMENTATION. PLEASE FOLLOW THIS LINK TO <a style=\"text-decoration: none;\" href=\"https:\/\/commercialfishingpermits.us\/cfpc\/united-states-coast-guard-documentation\/reinstatement-of-documentation\/\">\"REINSTATE\"<\/a> YOUR (CERTIFICATE OF DOCUMENTATION)<\/p><\/li><li id=\"field_182_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_1'>A-1. CURRENT VESSEL NAME AND OFFICIAL #<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_1' id='input_182_1' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_182_206\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_206'>A-2. NEW VESSEL NAME<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_206' id='input_182_206' type='text' value='' class='medium'  aria-describedby=\"gfield_description_182_206\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_182_206'>Insert name by which you wish the vessel to be known. Only standard Alpha and Numeric Characters in the vessel name will appear on the Certificate of Documentation. Click icon for attachment if application covers multiple vessels.<\/div><\/li><li id=\"field_182_3\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Please select from the following:<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_182_3'>\n\t\t\t<li class='radio gchoice gchoice_182_3_0'>\n\t\t\t\t<input style='margin-left:1px;' name='input_3' type='radio' value='I already own this vessel'  id='choice_182_3_0'    \/>\n\t\t\t\t<label for='choice_182_3_0' id='label_182_3_0' class='gform-field-label gform-field-label--type-inline'>I already own this vessel<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='radio gchoice gchoice_182_3_1'>\n\t\t\t\t<input style='margin-left:1px;' name='input_3' type='radio' value='I purchased this vessel from another owner'  id='choice_182_3_1'    \/>\n\t\t\t\t<label for='choice_182_3_1' id='label_182_3_1' class='gform-field-label gform-field-label--type-inline'>I purchased this vessel from another owner<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='radio gchoice gchoice_182_3_2'>\n\t\t\t\t<input style='margin-left:1px;' name='input_3' type='radio' value='This vessel was newly built'  id='choice_182_3_2'    \/>\n\t\t\t\t<label for='choice_182_3_2' id='label_182_3_2' class='gform-field-label gform-field-label--type-inline'>This vessel was newly built<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_182_111\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_182_10\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_10'>B-1. HAILING PORT INCLUDING STATE<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_10' id='input_182_10' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_182_207\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_207'>B-2. NEW HAILING PORT INCLUDING STATE (TO BE MARKED ON VESSEL)<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_207' id='input_182_207' type='text' value='' class='medium'  aria-describedby=\"gfield_description_182_207\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_182_207'>Insert name of place and state exactly as it is or will be marked on the vessel. The hailing port must be a place in the United States. Commonly used abbreviations such as \u2018NY, NY\u2019 are acceptable.<\/div><\/li><li id=\"field_182_114\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_182_150\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half official-number field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_150'>C. OFFICIAL # (IF AWARDED)<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_150' id='input_182_150' type='text' value='' class='medium'  aria-describedby=\"gfield_description_182_150\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_182_150'>Please enter the Official Number (O\/N) awarded by the Coast Guard for all but Initial Issue cases.<\/div><\/li><li id=\"field_182_190\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half official-number-confirm gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_190'>Please Confirm Official #<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_190' id='input_182_190' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_182_151\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_182_6\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_6'>D. HULL ID # (IF ANY)<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_6' id='input_182_6' type='text' value='' class='medium'  aria-describedby=\"gfield_description_182_6\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_182_6'>Please enter Hull Identification Number (HIN) as assigned in accordance with 33 CFR 81.<\/div><\/li><li id=\"field_182_113\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_182_8\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_8'>E. IMO # (IF ANY)<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_8' id='input_182_8' type='text' value='' class='medium'  aria-describedby=\"gfield_description_182_8\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_182_8'>Please enter International Maritime Organization Number (IMO), if any.<\/div><\/li><li id=\"field_182_115\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_182_200\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><strong>F. NAME OF MANAGING OWNER, E-MAIL ADDRESS, TELEPHONE NUMBER:<\/strong><br \/><br \/>\nName, e-mail address, and telephone number of the owner to whom the Coast Guard should direct correspondence and their Social Security Number (SSN), or Tax Identification Number (TIN). Only an owner, or part owner, can be the managing owner. For vessels owned by a corporation, the\ncorporation is considered the managing owner. For a trust arrangement, the trustee will be the managing owner. For a Partnership or a LLC, the name of the Partnership or the LLC should be shown.<\/li><li id=\"field_182_201\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_201'>NAME OF MANAGING OWNER<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_201' id='input_182_201' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_182_202\" class=\"gfield gfield--type-email gfield--input-type-email field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_202'>E-MAIL ADDRESS OF MANAGING OWNER<\/label><div class='ginput_container ginput_container_email'>\n                            <input class='form-control' name='input_202' id='input_182_202' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_182_203\" class=\"gfield gfield--type-phone gfield--input-type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_203'>TELEPHONE NUMBER OF MANAGING OWNER<\/label><div class='ginput_container ginput_container_phone'><input class='form-control' name='input_203' id='input_182_203' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_182_130\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_130'>SOCIAL SECURITY OR TAX ID NUMBER (46 USC 12104): (SECURE FORM)<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_130' id='input_182_130' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_182_15\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >IS THIS NUMBER YOUR SOCIAL SECURITY NUMBER OR TAX ID NUMBER?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_182_15'>\n\t\t\t<li class='radio gchoice gchoice_182_15_0'>\n\t\t\t\t<input style='margin-left:1px;' name='input_15' type='radio' value='SOCIAL SECURITY NUMBER'  id='choice_182_15_0'    \/>\n\t\t\t\t<label for='choice_182_15_0' id='label_182_15_0' class='gform-field-label gform-field-label--type-inline'>SOCIAL SECURITY NUMBER<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='radio gchoice gchoice_182_15_1'>\n\t\t\t\t<input style='margin-left:1px;' name='input_15' type='radio' value='TAX ID NUMBER'  id='choice_182_15_1'    \/>\n\t\t\t\t<label for='choice_182_15_1' id='label_182_15_1' class='gform-field-label gform-field-label--type-inline'>TAX ID NUMBER<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_182_117\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_182_204\" class=\"gfield gfield--type-address gfield--input-type-address field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >G. ENTER PHYSICAL ADDRESS OF MANAGING OWNER (REQUIRED \u2013 46 CFR 67.113)<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_182_204' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_182_204_1_container' >\n                                        <input class='form-control' type='text' name='input_204.1' id='input_182_204_1' value=''    aria-required='false'    \/>\n                                        <label for='input_182_204_1' id='input_182_204_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_182_204_2_container' >\n                                        <input class='form-control' type='text' name='input_204.2' id='input_182_204_2' value=''     aria-required='false'   \/>\n                                        <label for='input_182_204_2' id='input_182_204_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_182_204_3_container' >\n                                    <input class='form-control' type='text' name='input_204.3' id='input_182_204_3' value=''    aria-required='false'    \/>\n                                    <label for='input_182_204_3' id='input_182_204_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_182_204_4_container' >\n                                        <input class='form-control' type='text' name='input_204.4' id='input_182_204_4' value=''      aria-required='false'    \/>\n                                        <label for='input_182_204_4' id='input_182_204_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_182_204_5_container' >\n                                    <input class='form-control' type='text' name='input_204.5' id='input_182_204_5' value=''    aria-required='false'    \/>\n                                    <label for='input_182_204_5' id='input_182_204_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_182_204_6_container' >\n                                        <select class='form-control' class='form-control' name='input_204.6' id='input_182_204_6'   aria-required='false'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' selected='selected'>United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_182_204_6' id='input_182_204_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><div class='gfield_description' id='gfield_description_182_204'><span style=\"display:none !important\">Enter the mailing address. If physical (street) address differs from mailing address, enter BOTH.<\/span><\/div><\/li><li id=\"field_182_205\" class=\"gfield gfield--type-address gfield--input-type-address field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >ENTER MAILING ADDRESS OF MANAGING OWNER (IF DIFFERENT THAN PHYSICAL ADDRESS \u2013 E.G. , P.O. BOX)<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_182_205' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_182_205_1_container' >\n                                        <input class='form-control' type='text' name='input_205.1' id='input_182_205_1' value=''    aria-required='false'    \/>\n                                        <label for='input_182_205_1' id='input_182_205_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_182_205_2_container' >\n                                        <input class='form-control' type='text' name='input_205.2' id='input_182_205_2' value=''     aria-required='false'   \/>\n                                        <label for='input_182_205_2' id='input_182_205_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_182_205_3_container' >\n                                    <input class='form-control' type='text' name='input_205.3' id='input_182_205_3' value=''    aria-required='false'    \/>\n                                    <label for='input_182_205_3' id='input_182_205_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_182_205_4_container' >\n                                        <input class='form-control' type='text' name='input_205.4' id='input_182_205_4' value=''      aria-required='false'    \/>\n                                        <label for='input_182_205_4' id='input_182_205_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_182_205_5_container' >\n                                    <input class='form-control' type='text' name='input_205.5' id='input_182_205_5' value=''    aria-required='false'    \/>\n                                    <label for='input_182_205_5' id='input_182_205_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_182_205_6_container' >\n                                        <select class='form-control' class='form-control' name='input_205.6' id='input_182_205_6'   aria-required='false'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' selected='selected'>United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_182_205_6' id='input_182_205_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_182_119\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_182_208\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_208'>H. Are There Other Persons and\/or Entities That Own an Interest in the Vessel?<\/label><div class='ginput_container ginput_container_select'><select class='form-control' name='input_208' id='input_182_208' class='medium gfield_select'  aria-describedby=\"gfield_description_182_208\"   aria-invalid=\"false\" ><option value='No' >No<\/option><option value='Yes' >Yes<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_182_208'><strong>Include all persons\/entities (other than managing owner) who own an interest in the vessel below.<\/strong><\/div><\/li><li id=\"field_182_20\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_20'>H. NAME(S) OF OTHER OWNER(S)<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_20' id='input_182_20' type='text' value='' class='large'  aria-describedby=\"gfield_description_182_20\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_182_20'>Please enter all persons\/entities (other than managing owner) who own an interest in the vessel. If no owners other than the managing owner apply, please leave this field blank. Please click the icon for additional attachments if application covers multiple owners.<\/div><\/li><li id=\"field_182_216\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_216'>Is there an active lien or mortgage on this vessel?<\/label><div class='ginput_container ginput_container_select'><select class='form-control' name='input_216' id='input_182_216' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='Yes' >Yes<\/option><\/select><\/div><\/li><li id=\"field_182_217\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_217'>Is it satisfied?<\/label><div class='ginput_container ginput_container_select'><select class='form-control' name='input_217' id='input_182_217' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='Yes' >Yes<\/option><option value='I don&#039;t know' >I don&#039;t know<\/option><\/select><\/div><\/li><li id=\"field_182_219\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><strong style=\"color:red\">An Abstract of Title will be added to establish if the lien or mortgage has been satisfied.<\/strong><\/li><li id=\"field_182_22\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_22'>Social Security Number (Individual)<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_22' id='input_182_22' type='text' value='' class='medium'  aria-describedby=\"gfield_description_182_22\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_182_22'>If you are using a Social Security Number, please leave Tax ID Number blank.<\/div><\/li><li id=\"field_182_213\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_213'>Tax ID Number (Business Entity)<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_213' id='input_182_213' type='text' value='' class='medium'  aria-describedby=\"gfield_description_182_213\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_182_213'>If you are using a Tax ID Number, please leave Social Security Number blank. <\/div><\/li><li id=\"field_182_120\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_182_26\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >I. PURPOSE OF APPLICATION.<\/label><div class='gfield_description' id='gfield_description_182_26'>Please check all applicable blocks to illustrate purpose of this application. If this vessel has never been documented, please check Block #5 and provide ALL requested information known about the vessel's place and year of build, hull material, approximate length and previous names and numbers. If this information is unknown, please indicate below.<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_182_26'><li class='checkbox gchoice gchoice_182_26_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_26.1' type='checkbox'  value='1. TRANSFER\/EXCHANGE OF CERTIFICATE OF DOCUMENTATION'  id='choice_182_26_1'   aria-describedby=\"gfield_description_182_26\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_182_26_1' id='label_182_26_1' class='gform-field-label gform-field-label--type-inline'>1. TRANSFER\/EXCHANGE OF CERTIFICATE OF DOCUMENTATION<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_26_2'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_26.2' type='checkbox'  value='2. REPLACEMENT OF LOST, WRONGFULLY WITHHELD OR MUTILATED CERTIFICATE OF DOCUMENTATION'  id='choice_182_26_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_26_2' id='label_182_26_2' class='gform-field-label gform-field-label--type-inline'>2. REPLACEMENT OF LOST, WRONGFULLY WITHHELD OR MUTILATED CERTIFICATE OF DOCUMENTATION<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_26_3'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_26.3' type='checkbox'  value='3. RE-INSTATEMENT OF CERTIFICATE OF DOCUMENTATION FOLLOWING FAILURE TO RENEW'  id='choice_182_26_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_26_3' id='label_182_26_3' class='gform-field-label gform-field-label--type-inline'>3. RE-INSTATEMENT OF CERTIFICATE OF DOCUMENTATION FOLLOWING FAILURE TO RENEW<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_26_4'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_26.4' type='checkbox'  value='4. RETURN TO DOCUMENTATION FOLLOWING DELETION.'  id='choice_182_26_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_26_4' id='label_182_26_4' class='gform-field-label gform-field-label--type-inline'>4. RETURN TO DOCUMENTATION FOLLOWING DELETION.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_26_5'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_26.5' type='checkbox'  value='5. APPLICATION FOR OFFICIAL NUMBER AND FIRST CERTIFICATE OF DOCUMENTATION.'  id='choice_182_26_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_26_5' id='label_182_26_5' class='gform-field-label gform-field-label--type-inline'>5. APPLICATION FOR OFFICIAL NUMBER AND FIRST CERTIFICATE OF DOCUMENTATION.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_26_6'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_26.6' type='checkbox'  value='6. CHANGE OF VESSEL NAME OR HAILING PORT'  id='choice_182_26_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_26_6' id='label_182_26_6' class='gform-field-label gform-field-label--type-inline'>6. CHANGE OF VESSEL NAME OR HAILING PORT<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_182_68\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_68'>VESSEL NAME WHEN LAST DOCUMENTED:<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_68' id='input_182_68' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_182_27\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >HULL MATERIAL:<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_182_27'><li class='checkbox gchoice gchoice_182_27_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_27.1' type='checkbox'  value='WOOD'  id='choice_182_27_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_27_1' id='label_182_27_1' class='gform-field-label gform-field-label--type-inline'>WOOD<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_27_2'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_27.2' type='checkbox'  value='STEEL'  id='choice_182_27_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_27_2' id='label_182_27_2' class='gform-field-label gform-field-label--type-inline'>STEEL<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_27_3'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_27.3' type='checkbox'  value='FIBROUS REINFORCED PLASTIC'  id='choice_182_27_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_27_3' id='label_182_27_3' class='gform-field-label gform-field-label--type-inline'>FIBROUS REINFORCED PLASTIC<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_27_4'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_27.4' type='checkbox'  value='ALUMINUM'  id='choice_182_27_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_27_4' id='label_182_27_4' class='gform-field-label gform-field-label--type-inline'>ALUMINUM<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_27_5'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_27.5' type='checkbox'  value='CONCRETE'  id='choice_182_27_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_27_5' id='label_182_27_5' class='gform-field-label gform-field-label--type-inline'>CONCRETE<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_27_6'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_27.6' type='checkbox'  value='OTHER'  id='choice_182_27_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_27_6' id='label_182_27_6' class='gform-field-label gform-field-label--type-inline'>OTHER<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_182_155\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_155'>Describe<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_155' id='input_182_155' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_182_215\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >ARE THERE ANY ACTIVE LIENS OR MORTGAGES ON THIS VESSEL?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_182_215'>\n\t\t\t<li class='radio gchoice gchoice_182_215_0'>\n\t\t\t\t<input style='margin-left:1px;' name='input_215' type='radio' value='No, there are no active liens or mortgages on this vessel'  id='choice_182_215_0'    \/>\n\t\t\t\t<label for='choice_182_215_0' id='label_182_215_0' class='gform-field-label gform-field-label--type-inline'>No, there are no active liens or mortgages on this vessel<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='radio gchoice gchoice_182_215_1'>\n\t\t\t\t<input style='margin-left:1px;' name='input_215' type='radio' value='Yes, there is an active lien or mortgage on this vessel'  id='choice_182_215_1'    \/>\n\t\t\t\t<label for='choice_182_215_1' id='label_182_215_1' class='gform-field-label gform-field-label--type-inline'>Yes, there is an active lien or mortgage on this vessel<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_182_116\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_182_28\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >J. ENDORSEMENTS FOR WHICH APPLICATION IS MADE<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_182_28'><li class='checkbox gchoice gchoice_182_28_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_28.1' type='checkbox'  value='RECREATIONAL'  id='choice_182_28_1'   aria-describedby=\"gfield_description_182_28\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_182_28_1' id='label_182_28_1' class='gform-field-label gform-field-label--type-inline'>RECREATIONAL<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_28_2'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_28.2' type='checkbox'  value='FISHERY'  id='choice_182_28_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_28_2' id='label_182_28_2' class='gform-field-label gform-field-label--type-inline'>FISHERY<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_28_3'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_28.3' type='checkbox'  value='COASTWISE'  id='choice_182_28_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_28_3' id='label_182_28_3' class='gform-field-label gform-field-label--type-inline'>COASTWISE<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_28_4'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_28.4' type='checkbox'  value='REGISTRY'  id='choice_182_28_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_28_4' id='label_182_28_4' class='gform-field-label gform-field-label--type-inline'>REGISTRY<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_28_5'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_28.5' type='checkbox'  value='COASTWISE \u2013 BOWATERS ONLY (CERTIFICATE ON FILE)'  id='choice_182_28_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_28_5' id='label_182_28_5' class='gform-field-label gform-field-label--type-inline'>COASTWISE \u2013 BOWATERS ONLY (CERTIFICATE ON FILE)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_28_6'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_28.6' type='checkbox'  value='COASTWISE \u2013 OIL SPILL RESPONSE ONLY (LETTER OF QUALIFICATION ON FILE)'  id='choice_182_28_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_28_6' id='label_182_28_6' class='gform-field-label gform-field-label--type-inline'>COASTWISE \u2013 OIL SPILL RESPONSE ONLY (LETTER OF QUALIFICATION ON FILE)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_28_7'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_28.7' type='checkbox'  value='COASTWISE UNDER CHARTER TO AN ENTITY QUALIFIED TO ENGAGE IN COASTWISE TRADE (COPY OF CHARTER ON FILE)'  id='choice_182_28_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_28_7' id='label_182_28_7' class='gform-field-label gform-field-label--type-inline'>COASTWISE UNDER CHARTER TO AN ENTITY QUALIFIED TO ENGAGE IN COASTWISE TRADE (COPY OF CHARTER ON FILE)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_182_28'>Please check the appropriate block(s) to indicate all endorsement(s) sought on this application.<\/div><\/li><li id=\"field_182_118\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_182_171\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >K. PRIMARY SERVICE &amp; HORSEPOWER:<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_182_171'>\n\t\t\t<li class='radio gchoice gchoice_182_171_0'>\n\t\t\t\t<input style='margin-left:1px;' name='input_171' type='radio' value='COMMERCIAL FISHING BOAT'  id='choice_182_171_0'    \/>\n\t\t\t\t<label for='choice_182_171_0' id='label_182_171_0' class='gform-field-label gform-field-label--type-inline'>COMMERCIAL FISHING BOAT<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='radio gchoice gchoice_182_171_1'>\n\t\t\t\t<input style='margin-left:1px;' name='input_171' type='radio' value='FISH PROCESSING VESSEL'  id='choice_182_171_1'    \/>\n\t\t\t\t<label for='choice_182_171_1' id='label_182_171_1' class='gform-field-label gform-field-label--type-inline'>FISH PROCESSING VESSEL<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='radio gchoice gchoice_182_171_2'>\n\t\t\t\t<input style='margin-left:1px;' name='input_171' type='radio' value='FREIGHT SHIP'  id='choice_182_171_2'    \/>\n\t\t\t\t<label for='choice_182_171_2' id='label_182_171_2' class='gform-field-label gform-field-label--type-inline'>FREIGHT SHIP<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='radio gchoice gchoice_182_171_3'>\n\t\t\t\t<input style='margin-left:1px;' name='input_171' type='radio' value='FREIGHT BARGE'  id='choice_182_171_3'    \/>\n\t\t\t\t<label for='choice_182_171_3' id='label_182_171_3' class='gform-field-label gform-field-label--type-inline'>FREIGHT BARGE<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='radio gchoice gchoice_182_171_4'>\n\t\t\t\t<input style='margin-left:1px;' name='input_171' type='radio' value='INDUSTRIAL VESSEL'  id='choice_182_171_4'    \/>\n\t\t\t\t<label for='choice_182_171_4' id='label_182_171_4' class='gform-field-label gform-field-label--type-inline'>INDUSTRIAL VESSEL<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='radio gchoice gchoice_182_171_5'>\n\t\t\t\t<input style='margin-left:1px;' name='input_171' type='radio' value='MOBILE OFFSHORE DRILLING UNIT'  id='choice_182_171_5'    \/>\n\t\t\t\t<label for='choice_182_171_5' id='label_182_171_5' class='gform-field-label gform-field-label--type-inline'>MOBILE OFFSHORE DRILLING UNIT<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='radio gchoice gchoice_182_171_6'>\n\t\t\t\t<input style='margin-left:1px;' name='input_171' type='radio' value='OIL RECOVERY'  id='choice_182_171_6'    \/>\n\t\t\t\t<label for='choice_182_171_6' id='label_182_171_6' class='gform-field-label gform-field-label--type-inline'>OIL RECOVERY<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='radio gchoice gchoice_182_171_7'>\n\t\t\t\t<input style='margin-left:1px;' name='input_171' type='radio' value='OFFSHORE SUPPLY VESSEL'  id='choice_182_171_7'    \/>\n\t\t\t\t<label for='choice_182_171_7' id='label_182_171_7' class='gform-field-label gform-field-label--type-inline'>OFFSHORE SUPPLY VESSEL<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='radio gchoice gchoice_182_171_8'>\n\t\t\t\t<input style='margin-left:1px;' name='input_171' type='radio' value='PASSENGER (6 OR FEWER)'  id='choice_182_171_8'    \/>\n\t\t\t\t<label for='choice_182_171_8' id='label_182_171_8' class='gform-field-label gform-field-label--type-inline'>PASSENGER (6 OR FEWER)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='radio gchoice gchoice_182_171_9'>\n\t\t\t\t<input style='margin-left:1px;' name='input_171' type='radio' value='PASSENGER (MORE THAN 6)'  id='choice_182_171_9'    \/>\n\t\t\t\t<label for='choice_182_171_9' id='label_182_171_9' class='gform-field-label gform-field-label--type-inline'>PASSENGER (MORE THAN 6)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='radio gchoice gchoice_182_171_10'>\n\t\t\t\t<input style='margin-left:1px;' name='input_171' type='radio' value='PASSENGER BARGE (6 OR FEWER)'  id='choice_182_171_10'    \/>\n\t\t\t\t<label for='choice_182_171_10' id='label_182_171_10' class='gform-field-label gform-field-label--type-inline'>PASSENGER BARGE (6 OR FEWER)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='radio gchoice gchoice_182_171_11'>\n\t\t\t\t<input style='margin-left:1px;' name='input_171' type='radio' value='PASSENGER BARGE (MORE THAN 6)'  id='choice_182_171_11'    \/>\n\t\t\t\t<label for='choice_182_171_11' id='label_182_171_11' class='gform-field-label gform-field-label--type-inline'>PASSENGER BARGE (MORE THAN 6)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='radio gchoice gchoice_182_171_12'>\n\t\t\t\t<input style='margin-left:1px;' name='input_171' type='radio' value='PUBLIC FREIGHT'  id='choice_182_171_12'    \/>\n\t\t\t\t<label for='choice_182_171_12' id='label_182_171_12' class='gform-field-label gform-field-label--type-inline'>PUBLIC FREIGHT<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='radio gchoice gchoice_182_171_13'>\n\t\t\t\t<input style='margin-left:1px;' name='input_171' type='radio' value='PUBLIC TANKSHIP\/BARGE'  id='choice_182_171_13'    \/>\n\t\t\t\t<label for='choice_182_171_13' id='label_182_171_13' class='gform-field-label gform-field-label--type-inline'>PUBLIC TANKSHIP\/BARGE<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='radio gchoice gchoice_182_171_14'>\n\t\t\t\t<input style='margin-left:1px;' name='input_171' type='radio' value='PUBLIC VESSEL, UNC'  id='choice_182_171_14'    \/>\n\t\t\t\t<label for='choice_182_171_14' id='label_182_171_14' class='gform-field-label gform-field-label--type-inline'>PUBLIC VESSEL, UNC<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='radio gchoice gchoice_182_171_15'>\n\t\t\t\t<input style='margin-left:1px;' name='input_171' type='radio' value='RECREATIONAL'  id='choice_182_171_15'    \/>\n\t\t\t\t<label for='choice_182_171_15' id='label_182_171_15' class='gform-field-label gform-field-label--type-inline'>RECREATIONAL<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='radio gchoice gchoice_182_171_16'>\n\t\t\t\t<input style='margin-left:1px;' name='input_171' type='radio' value='RESEARCH VESSEL'  id='choice_182_171_16'    \/>\n\t\t\t\t<label for='choice_182_171_16' id='label_182_171_16' class='gform-field-label gform-field-label--type-inline'>RESEARCH VESSEL<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='radio gchoice gchoice_182_171_17'>\n\t\t\t\t<input style='margin-left:1px;' name='input_171' type='radio' value='SCHOOL SHIP'  id='choice_182_171_17'    \/>\n\t\t\t\t<label for='choice_182_171_17' id='label_182_171_17' class='gform-field-label gform-field-label--type-inline'>SCHOOL SHIP<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='radio gchoice gchoice_182_171_18'>\n\t\t\t\t<input style='margin-left:1px;' name='input_171' type='radio' value='TANK BARGE'  id='choice_182_171_18'    \/>\n\t\t\t\t<label for='choice_182_171_18' id='label_182_171_18' class='gform-field-label gform-field-label--type-inline'>TANK BARGE<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='radio gchoice gchoice_182_171_19'>\n\t\t\t\t<input style='margin-left:1px;' name='input_171' type='radio' value='TANK SHIP'  id='choice_182_171_19'    \/>\n\t\t\t\t<label for='choice_182_171_19' id='label_182_171_19' class='gform-field-label gform-field-label--type-inline'>TANK SHIP<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='radio gchoice gchoice_182_171_20'>\n\t\t\t\t<input style='margin-left:1px;' name='input_171' type='radio' value='TOWING VESSEL'  id='choice_182_171_20'    \/>\n\t\t\t\t<label for='choice_182_171_20' id='label_182_171_20' class='gform-field-label gform-field-label--type-inline'>TOWING VESSEL<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_182_171'>Please select only ONE service for which the vessel will be primarily used and insert horsepower as well.<\/div><\/li><li id=\"field_182_30\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_30'>HORSEPOWER<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_30' id='input_182_30' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type=\"button\" id=\"gform_next_button_182_31\" class=\"gform_next_button gform-theme-button button btn btn-primary\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"next\" value=\"Next\"> <a type='button' href=\"javascript:void(0);\" id='gform_save_182_2_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link btn btn-secondary gform-theme-button gform-theme-button--secondary'  > Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_182_2' class='gform_page' data-js='page-field-id-31' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_182_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_182_122\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><strong>L. CITIZENSHIP OF OWNER (CHECK THE BOX(ES) TO SHOW THE TYPE(S) OF ENTITY(IES) THAT OWNS THE VESSEL)<\/strong><\/br>Vessel must be owned by a U.S. citizen eligible for the\nendorsement(s) desired. Please choose the section that best describes the type of entity that owns the vessel. Citizenship for all owners must be provided.<\/li><li id=\"field_182_40\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' >INDIVIDUAL: This isncludes native born, as well as naturalized U.S. citizens.\n\nGOVERNMENT ENTITY: This includes Federal, State, Territory, Possession or Subdivision.\n\nCORPORATION: Please complete all items that may apply.\n\nLIMITED LIABILITY COMPANY (LLC):  Please complete Equity Section and choose type. For a member managed LLC, a list of members is required. Please click the icon for additional attachments if application covers multiple members.\n\nPARTNERSHIP: Please complete Equity Section and choose type. A list of all general partners is required. Click the icon for additional attachments if application covers multiple general partners.\n\nCORPORATIONS QUALIFIED UNDER 46 CFR 68.01 OR OWNED BY A NOT-FOR-PROFIT OIL RECOVERY COOPERATIVE: Please attach a copy of the Certificate of Compliance or Letter of Qualification issued by the Director, NVDC. \n\nJOINT VENTURE\/ASSOCIATION: A list of all joint venturers\/members is required. The percentage held by each does not need to be provided. Please click on icon for additional attachments if application covers multiple joint venturers\/members. \n\nTRUST ARRANGEMENT: All trustees must be U.S. citizens. If applicable, each beneficiary with an enforceable interest must be a citizen. A list of all trustees (save for the managing owner) and beneficiaries with an enforceable interest is required. Please click on icon for additional attachments if application covers multiple trustees\/beneficiaries with an enforceable interest.<\/label><div class='gfield_description' id='gfield_description_182_40'><p><strong>INDIVIDUAL: <\/strong>This isncludes native born, as well as naturalized U.S. citizens.<\/p>\n\n<p><strong>GOVERNMENT ENTITY: <\/strong>This includes Federal, State, Territory, Possession or Subdivision.<\/p>\n\n<p><strong>CORPORATION: <\/strong>Please complete all items that may apply.<\/p>\n\n<p><strong>LIMITED LIABILITY COMPANY (LLC):  <\/strong>Please complete Equity Section and choose type. For a member managed LLC, a list of members is required. Please click the icon for additional attachments if application covers multiple members.<\/p>\n\n<p><strong>PARTNERSHIP: <\/strong>Please complete Equity Section and choose type. A list of all general partners is required. Click the icon for additional attachments if application covers multiple general partners.<\/p>\n\n<p><strong>CORPORATIONS QUALIFIED UNDER 46 CFR 68.01 OR OWNED BY A NOT-FOR-PROFIT OIL RECOVERY COOPERATIVE: <\/strong>Please attach a copy of the Certificate of Compliance or Letter of Qualification issued by the Director, NVDC. <\/p>\n\n<p><strong>JOINT VENTURE\/ASSOCIATION: <\/strong>A list of all joint venturers\/members is required. The percentage held by each does not need to be provided. Please click on icon for additional attachments if application covers multiple joint venturers\/members. <\/p>\n\n<p><strong>TRUST ARRANGEMENT: <\/strong>All trustees must be U.S. citizens. If applicable, each beneficiary with an enforceable interest must be a citizen. A list of all trustees (save for the managing owner) and beneficiaries with an enforceable interest is required. Please click on icon for additional attachments if application covers multiple trustees\/beneficiaries with an enforceable interest.<\/p><\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_182_40'><li class='checkbox gchoice gchoice_182_40_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_40.1' type='checkbox'  value='ONE OR MORE INDIVIDUALS, I (WE) CERTIFY THAT ALL OWNERS OF THIS VESSEL ARE CITIZENS OF THE UNITED STATES'  id='choice_182_40_1'   aria-describedby=\"gfield_description_182_40\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_182_40_1' id='label_182_40_1' class='gform-field-label gform-field-label--type-inline'>ONE OR MORE INDIVIDUALS, I (WE) CERTIFY THAT ALL OWNERS OF THIS VESSEL ARE CITIZENS OF THE UNITED STATES<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_40_2'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_40.2' type='checkbox'  value='GOVERNMENT ENTITY (FEDERAL, STATE, TERRITORY, POSSESSION OR SUBDIVISION)'  id='choice_182_40_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_40_2' id='label_182_40_2' class='gform-field-label gform-field-label--type-inline'>GOVERNMENT ENTITY (FEDERAL, STATE, TERRITORY, POSSESSION OR SUBDIVISION)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_40_3'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_40.3' type='checkbox'  value='CORPORATION (SEE SECTION M, ITEM 5 WHEN APPLYING FOR A FISHERY OR COASTWISE ENDORSEMENT).'  id='choice_182_40_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_40_3' id='label_182_40_3' class='gform-field-label gform-field-label--type-inline'>CORPORATION (SEE SECTION M, ITEM 5 WHEN APPLYING FOR A FISHERY OR COASTWISE ENDORSEMENT).<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_40_4'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_40.4' type='checkbox'  value='LIMITED LIABILITY COMPANY (LLC) (COMPLETE EQUITY SECTION AND CHOOSE TYPE)'  id='choice_182_40_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_40_4' id='label_182_40_4' class='gform-field-label gform-field-label--type-inline'>LIMITED LIABILITY COMPANY (LLC) (COMPLETE EQUITY SECTION AND CHOOSE TYPE)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_40_5'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_40.5' type='checkbox'  value='PARTNERSHIP (COMPLETE EQUITY SECTION AND CHOOSE TYPE)'  id='choice_182_40_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_40_5' id='label_182_40_5' class='gform-field-label gform-field-label--type-inline'>PARTNERSHIP (COMPLETE EQUITY SECTION AND CHOOSE TYPE)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_40_6'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_40.6' type='checkbox'  value='CORPORATION QUALIFIED AND APPLYING UNDER 46 CFR 68.01 (BOWATERS)'  id='choice_182_40_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_40_6' id='label_182_40_6' class='gform-field-label gform-field-label--type-inline'>CORPORATION QUALIFIED AND APPLYING UNDER 46 CFR 68.01 (BOWATERS)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_40_7'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_40.7' type='checkbox'  value='VESSEL OWNED OR OPERATED BY NOT-FOR-PROFIT OIL RECOVERY COOPERATIVE'  id='choice_182_40_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_40_7' id='label_182_40_7' class='gform-field-label gform-field-label--type-inline'>VESSEL OWNED OR OPERATED BY NOT-FOR-PROFIT OIL RECOVERY COOPERATIVE<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_40_8'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_40.8' type='checkbox'  value='JOINT VENTURE OR ASSOCIATION'  id='choice_182_40_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_40_8' id='label_182_40_8' class='gform-field-label gform-field-label--type-inline'>JOINT VENTURE OR ASSOCIATION<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_40_9'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_40.9' type='checkbox'  value='TRUST ARRANGEMENT (COMPLETE EQUITY\/STOCK SECTION)'  id='choice_182_40_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_40_9' id='label_182_40_9' class='gform-field-label gform-field-label--type-inline'>TRUST ARRANGEMENT (COMPLETE EQUITY\/STOCK SECTION)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_182_69\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_69'>1. STATE OF INCORPORATION<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_69' id='input_182_69' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_182_70\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_70'>2 CITIZENSHIP OF CHIEF EXECUTIVE OFFICER BY WHATEVER TITLE<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_70' id='input_182_70' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_182_71\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_71'>3. CITIZENSHIP OF CHAIRMAN OF THE BOARD<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_71' id='input_182_71' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_182_72\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_72'>4. NUMBER OF DIRECTORS NECESSARY TO CONSTITUTE A QUORUM<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_72' id='input_182_72' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_182_73\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_73'>5. NUMBER OF ALIEN DIRECTORS<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_73' id='input_182_73' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_182_131\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >6. PLEASE SELECT PERCENTAGE OF STOCK OWNED BY U.S. CITIZENS ELIGIBLE TO DOCUMENT VESSELS IN THEIR OWN RIGHT, WITH THE ENDORSEMENT(S) SOUGHT ON THIS APPLICATION IN ACCORDANCE WITH 46 CFR PART 67 (SUBPART C)<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_182_131'><li class='checkbox gchoice gchoice_182_131_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_131.1' type='checkbox'  value='LESS THAN 50%'  id='choice_182_131_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_131_1' id='label_182_131_1' class='gform-field-label gform-field-label--type-inline'>LESS THAN 50%<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_131_2'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_131.2' type='checkbox'  value='50% OR MORE: (I)'  id='choice_182_131_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_131_2' id='label_182_131_2' class='gform-field-label gform-field-label--type-inline'>50% OR MORE: (I)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_131_3'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_131.3' type='checkbox'  value='75% OR MORE (AND, AT EACH TIER, IF APPLICABLE)'  id='choice_182_131_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_131_3' id='label_182_131_3' class='gform-field-label gform-field-label--type-inline'>75% OR MORE (AND, AT EACH TIER, IF APPLICABLE)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_131_4'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_131.4' type='checkbox'  value='75% OR MORE (AND, AT EACH TIER AND IN THE AGGREGATE (IF FISHERY), IF APPLICABLE)'  id='choice_182_131_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_131_4' id='label_182_131_4' class='gform-field-label gform-field-label--type-inline'>75% OR MORE (AND, AT EACH TIER AND IN THE AGGREGATE (IF FISHERY), IF APPLICABLE)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_182_132\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_132'>PLEASE STATE EXACT PERCENTAGE<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_132' id='input_182_132' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_182_133\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >CORPORATION QUALIFIED AND APPLYING UNDER 46 CFR 68.01 (BOWATERS)<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_182_133'><li class='checkbox gchoice gchoice_182_133_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_133.1' type='checkbox'  value='I (WE) CERTIFY THAT THE CORPORATE STRUCTURE HAS NOT CHANGED SINCE ISSUANCE OF THE CERTIFICATE OF COMPLIANCE.'  id='choice_182_133_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_133_1' id='label_182_133_1' class='gform-field-label gform-field-label--type-inline'>I (WE) CERTIFY THAT THE CORPORATE STRUCTURE HAS NOT CHANGED SINCE ISSUANCE OF THE CERTIFICATE OF COMPLIANCE.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_182_174\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >VESSEL OWNED OR OPERATED BY NOT-FOR-PROFIT OIL RECOVERY COOPERATIVE<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_182_174'><li class='checkbox gchoice gchoice_182_174_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_174.1' type='checkbox'  value='I (WE) CERTIFY THAT THE INFORMATION ON FILE WITH REGARD TO COOPERATIVE AND ISSUANCE OF THE LETTER OF QUALIFICATION REMAINS UNCHANGED.'  id='choice_182_174_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_174_1' id='label_182_174_1' class='gform-field-label gform-field-label--type-inline'>I (WE) CERTIFY THAT THE INFORMATION ON FILE WITH REGARD TO COOPERATIVE AND ISSUANCE OF THE LETTER OF QUALIFICATION REMAINS UNCHANGED.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_182_175\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >JOINT VENTURE OR ASSOCIATION<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_182_175'><li class='checkbox gchoice gchoice_182_175_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_175.1' type='checkbox'  value='I (WE) CERTIFY THAT ALL MEMBERS OF THIS (JOINT VENTURE) (ASSOCIATION) ARE CITIZENS OF THE UNITED STATES, ELIGIBLE TO DOCUMENT VESSELS IN THEIR OWN RIGHT WITH THE ENDORSEMENT(S) SOUGHT.'  id='choice_182_175_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_175_1' id='label_182_175_1' class='gform-field-label gform-field-label--type-inline'>I (WE) CERTIFY THAT ALL MEMBERS OF THIS (JOINT VENTURE) (ASSOCIATION) ARE CITIZENS OF THE UNITED STATES, ELIGIBLE TO DOCUMENT VESSELS IN THEIR OWN RIGHT WITH THE ENDORSEMENT(S) SOUGHT.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_182_134\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >LIMITED LIABILITY COMPANY (LLC): (COMPLETE EQUITY SECTION AND CHOOSE TYPE) (SEE SECTION M, ITEM 5 WHEN APPLYING FOR A FISHERY OR COASTWISE ENDORSEMENT).<\/label><div class='gfield_description' id='gfield_description_182_134'><b>PLEASE SELECT EQUITY INTEREST OWNED BY PERSONS ELIGIBLE TO DOCUMENT VESSELS IN THEIR OWN RIGHT WITH THE ENDORSEMENT SOUGHT IN ACCORDANCE WITH 46 CFR PART 67 (SUBPART C).<\/b><\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_182_134'><li class='checkbox gchoice gchoice_182_134_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_134.1' type='checkbox'  value='LESS THAN 50%'  id='choice_182_134_1'   aria-describedby=\"gfield_description_182_134\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_182_134_1' id='label_182_134_1' class='gform-field-label gform-field-label--type-inline'>LESS THAN 50%<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_134_2'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_134.2' type='checkbox'  value='75% OR MORE (AND, AT EACH TIER, IF APPLICABLE)'  id='choice_182_134_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_134_2' id='label_182_134_2' class='gform-field-label gform-field-label--type-inline'>75% OR MORE (AND, AT EACH TIER, IF APPLICABLE)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_134_3'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_134.3' type='checkbox'  value='75% OR MORE (AND, AT EACH TIER AND IN THE AGGREGATE (IF FISHERY), IF APPLICABLE)'  id='choice_182_134_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_134_3' id='label_182_134_3' class='gform-field-label gform-field-label--type-inline'>75% OR MORE (AND, AT EACH TIER AND IN THE AGGREGATE (IF FISHERY), IF APPLICABLE)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_134_4'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_134.4' type='checkbox'  value='50% OR MORE: (I)'  id='choice_182_134_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_134_4' id='label_182_134_4' class='gform-field-label gform-field-label--type-inline'>50% OR MORE: (I)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_182_176\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_176'>List of All Joint Ventures\/Members (First &amp; Last Name(s)):<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_176' id='input_182_176' class='form-control textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_182_135\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_135'>PLEASE STATE EXACT PERCENTAGE<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_135' id='input_182_135' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_182_136\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_182_136'><li class='checkbox gchoice gchoice_182_136_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_136.1' type='checkbox'  value='&lt;b&gt;1. MEMBER MANAGED LIMITED LIABILITY COMPANY I (WE) CERTIFY THAT ALL MEMBERS OF THIS LLC ARE CITIZENS OF THE UNITED STATES ELIGIBLE TO DOCUMENT VESSELS WITH THE ENDORSEMENT(S) SOUGHT IN THEIR OWN RIGHT.&lt;\/b&gt;'  id='choice_182_136_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_136_1' id='label_182_136_1' class='gform-field-label gform-field-label--type-inline'><b>1. MEMBER MANAGED LIMITED LIABILITY COMPANY I (WE) CERTIFY THAT ALL MEMBERS OF THIS LLC ARE CITIZENS OF THE UNITED STATES ELIGIBLE TO DOCUMENT VESSELS WITH THE ENDORSEMENT(S) SOUGHT IN THEIR OWN RIGHT.<\/b><\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_182_177\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_177'>LIST OF ALL MEMBERS (FIRST &amp; LAST NAME(S)):<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_177' id='input_182_177' class='form-control textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_182_137\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >OR<\/li><li id=\"field_182_138\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >2. LIMITED LIABILITY COMPANY NOT MANAGED BY MEMBERS AND NOT SIMILAR TO GENERAL PARTNERSHIP: PLEASE NOTE (A) &amp; (B) MUST BE CHECKED FOR FISHERY AND COASTWISE ENDORSEMENTS; NOT REQUIRED FOR COASTWISE OIL SPILL OR COASTWISE UNDER CHARTER ENDORSEMENTS.<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_182_138'><li class='checkbox gchoice gchoice_182_138_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_138.1' type='checkbox'  value='A. I (WE) CERTIFY THAT ANY PERSON ELECTED TO MANAGE THE LLC OR WHO IS AUTHORIZED TO BIND THE LLC, AND ANY PERSON WHO HOLDS A POSITION EQUIVALENT TO THE CHIEF EXECUTIVE OFFICER, BY WHATEVER TITLE, AND THE CHAIRMAN OF THE BOARD OF DIRECTORS IN A CORPORATION, AND ANY PERSONS AUTHORIZED TO ACT IN THEIR ABSENCE ARE CITIZENS OF THE UNITED STATES'  id='choice_182_138_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_138_1' id='label_182_138_1' class='gform-field-label gform-field-label--type-inline'>A. I (WE) CERTIFY THAT ANY PERSON ELECTED TO MANAGE THE LLC OR WHO IS AUTHORIZED TO BIND THE LLC, AND ANY PERSON WHO HOLDS A POSITION EQUIVALENT TO THE CHIEF EXECUTIVE OFFICER, BY WHATEVER TITLE, AND THE CHAIRMAN OF THE BOARD OF DIRECTORS IN A CORPORATION, AND ANY PERSONS AUTHORIZED TO ACT IN THEIR ABSENCE ARE CITIZENS OF THE UNITED STATES<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_138_2'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_138.2' type='checkbox'  value='B. NON-CITIZENS DO NOT HAVE AUTHORITY WITHIN A MANAGEMENT GROUP, WHETHER THROUGH VETO POWER, COMBINED VOTING, OR OTHERWISE, TO EXERCISE CONTROL OVER THE LLC'  id='choice_182_138_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_138_2' id='label_182_138_2' class='gform-field-label gform-field-label--type-inline'>B. NON-CITIZENS DO NOT HAVE AUTHORITY WITHIN A MANAGEMENT GROUP, WHETHER THROUGH VETO POWER, COMBINED VOTING, OR OTHERWISE, TO EXERCISE CONTROL OVER THE LLC<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_182_139\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_139'>PLEASE STATE WHERE ORGANIZED<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_139' id='input_182_139' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_182_140\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >PARTNERSHIP (COMPLETE EQUITY SECTION AND CHOOSE TYPE) (SEE SECTION M, ITEM 5 WHEN APPLYING FOR FISHERY OR COASTWISE ENDORSEMENT) EQUITY INTEREST OWNED BY PERSONS ELIGIBLE TO DOCUMENT VESSELS IN THEIR OWN RIGHT WITH THE ENDORSEMENT SOUGHT IN ACCORDANCE WITH 46 CFR PART 67 (SUBPART C)<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_182_140'><li class='checkbox gchoice gchoice_182_140_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_140.1' type='checkbox'  value='LESS THAN 50%'  id='choice_182_140_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_140_1' id='label_182_140_1' class='gform-field-label gform-field-label--type-inline'>LESS THAN 50%<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_140_2'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_140.2' type='checkbox'  value='75% OR MORE (AND, AT EACH TIER, IF APPLICABLE)'  id='choice_182_140_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_140_2' id='label_182_140_2' class='gform-field-label gform-field-label--type-inline'>75% OR MORE (AND, AT EACH TIER, IF APPLICABLE)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_140_3'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_140.3' type='checkbox'  value='75% OR MORE (AND, AT EACH TIER AND IN THE AGGREGATE (IF FISHERY), IF APPLICABLE)'  id='choice_182_140_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_140_3' id='label_182_140_3' class='gform-field-label gform-field-label--type-inline'>75% OR MORE (AND, AT EACH TIER AND IN THE AGGREGATE (IF FISHERY), IF APPLICABLE)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_140_4'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_140.4' type='checkbox'  value='50% OR MORE: (I)'  id='choice_182_140_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_140_4' id='label_182_140_4' class='gform-field-label gform-field-label--type-inline'>50% OR MORE: (I)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_182_141\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_141'>PLEASE STATE EXACT PERCENTAGE<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_141' id='input_182_141' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_182_142\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_182_142'><li class='checkbox gchoice gchoice_182_142_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_142.1' type='checkbox'  value='&lt;b&gt;1. GENERAL PARTNERSHIP&lt;\/b&gt;&lt;br&gt;I (WE) CERTIFY THAT ALL PARTNERS IN THIS PARTNERSHIP ARE CITIZENS OF THE UNITED STATES ELIGIBLE TO DOCUMENT VESSELS WITH THE ENDORSEMENT(S) SOUGHT IN THEIR OWN RIGHT.'  id='choice_182_142_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_142_1' id='label_182_142_1' class='gform-field-label gform-field-label--type-inline'><b>1. GENERAL PARTNERSHIP<\/b><br>I (WE) CERTIFY THAT ALL PARTNERS IN THIS PARTNERSHIP ARE CITIZENS OF THE UNITED STATES ELIGIBLE TO DOCUMENT VESSELS WITH THE ENDORSEMENT(S) SOUGHT IN THEIR OWN RIGHT.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_142_2'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_142.2' type='checkbox'  value='&lt;b&gt;2. LIMITED PARTNERSHIP&lt;\/b&gt;&lt;br&gt; I (WE) CERTIFY THAT ALL GENERAL PARTNERS IN THIS PARTNERSHIP ARE CITIZENS OF THE UNITED STATES, ELIGIBLE TO DOCUMENT VESSELS WITH THE ENDORSEMENT(S) SOUGHT IN THEIR OWN RIGHT.'  id='choice_182_142_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_142_2' id='label_182_142_2' class='gform-field-label gform-field-label--type-inline'><b>2. LIMITED PARTNERSHIP<\/b><br> I (WE) CERTIFY THAT ALL GENERAL PARTNERS IN THIS PARTNERSHIP ARE CITIZENS OF THE UNITED STATES, ELIGIBLE TO DOCUMENT VESSELS WITH THE ENDORSEMENT(S) SOUGHT IN THEIR OWN RIGHT.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_182_143\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_143'>LIST ALL GENERAL PARTNERS (REQUIRED)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_143' id='input_182_143' class='form-control textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_182_144\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >TRUST ARRANGEMENT<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_182_144'><li class='checkbox gchoice gchoice_182_144_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_144.1' type='checkbox'  value='I (WE) CERTIFY THAT ALL TRUSTEES AND ALL BENEFICIARIES WITH AN ENFORCEABLE INTEREST IN THIS TRUST ARRANGEMENT ARE CITIZENS OF THE UNITED STATES, ELIGIBLE TO DOCUMENT VESSELS WITH THE ENDORSEMENT(S) SOUGHT IN THEIR OWN RIGHT.'  id='choice_182_144_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_144_1' id='label_182_144_1' class='gform-field-label gform-field-label--type-inline'>I (WE) CERTIFY THAT ALL TRUSTEES AND ALL BENEFICIARIES WITH AN ENFORCEABLE INTEREST IN THIS TRUST ARRANGEMENT ARE CITIZENS OF THE UNITED STATES, ELIGIBLE TO DOCUMENT VESSELS WITH THE ENDORSEMENT(S) SOUGHT IN THEIR OWN RIGHT.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_182_145\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >SPECIFY EQUITY INTEREST OWNED BY PERSONS ELIGIBLE TO DOCUMENT VESSELS IN THEIR OWN RIGHT WITH THE ENDORSEMENT(S) SOUGHT IN ACCORDANCE WITH 46 CFR PART 67 (SUBPART C)<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_182_145'><li class='checkbox gchoice gchoice_182_145_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_145.1' type='checkbox'  value='LESS THAN 50%'  id='choice_182_145_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_145_1' id='label_182_145_1' class='gform-field-label gform-field-label--type-inline'>LESS THAN 50%<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_145_2'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_145.2' type='checkbox'  value='50% OR MORE: (I)'  id='choice_182_145_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_145_2' id='label_182_145_2' class='gform-field-label gform-field-label--type-inline'>50% OR MORE: (I)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_145_3'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_145.3' type='checkbox'  value='75% OR MORE (AND, AT EACH TIER, IF APPLICABLE)'  id='choice_182_145_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_145_3' id='label_182_145_3' class='gform-field-label gform-field-label--type-inline'>75% OR MORE (AND, AT EACH TIER, IF APPLICABLE)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_145_4'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_145.4' type='checkbox'  value='75% OR MORE (AND, AT EACH TIER AND IN THE AGGREGATE (IF FISHERY), IF APPLICABLE)'  id='choice_182_145_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_145_4' id='label_182_145_4' class='gform-field-label gform-field-label--type-inline'>75% OR MORE (AND, AT EACH TIER AND IN THE AGGREGATE (IF FISHERY), IF APPLICABLE)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_182_146\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_146'>PLEASE STATE EXACT PERCENTAGE<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_146' id='input_182_146' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_182_147\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><strong>OR<\/strong><\/li><li id=\"field_182_148\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_182_148'><li class='checkbox gchoice gchoice_182_148_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_148.1' type='checkbox'  value='VESSEL OWNED IN A TRUST ARRANGEMENT PURSUANT TO 46 USC 12111(c) (CROSS BORDER FINANCING)'  id='choice_182_148_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_148_1' id='label_182_148_1' class='gform-field-label gform-field-label--type-inline'>VESSEL OWNED IN A TRUST ARRANGEMENT PURSUANT TO 46 USC 12111(c) (CROSS BORDER FINANCING)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_182_149\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_149'>LIST ALL ALL TRUSTEES AND ALL BENEFICIARIES WITH AN ENFORCEABLE INTEREST (REQUIRED)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_149' id='input_182_149' class='form-control textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_182_121\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_182_178\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class=\"gfield_label\">M. I (WE) CERTIFY THAT: (MARK ALL THAT ARE APPLICABLE. ITEM 5. NOT REQUIRED FOR COASTWISE BOWATER ONLY, OIL SPILL, OR UNDER CHARTER ENDORSEMENTS.)<\/label><br>\n\n<div class=\"gfield_description\">Complete as appropriate. The law provides severe penalties for false statements against both the person (including agents) making the statement and against the vessel for which it is made.<\/div><\/li><li id=\"field_182_179\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox checkbox-spacing field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_182_179'><li class='checkbox gchoice gchoice_182_179_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_179.1' type='checkbox'  value='1. I AM (WE ARE) A CITIZEN(S) OF THE UNITED STATES AND LEGALLY AUTHORIZED TO EXECUTE THIS APPLICATION IN THE CAPACITY SHOWN;'  id='choice_182_179_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_179_1' id='label_182_179_1' class='gform-field-label gform-field-label--type-inline'>1. I AM (WE ARE) A CITIZEN(S) OF THE UNITED STATES AND LEGALLY AUTHORIZED TO EXECUTE THIS APPLICATION IN THE CAPACITY SHOWN;<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_182_180\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox checkbox-spacing field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_182_180'><li class='checkbox gchoice gchoice_182_180_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_180.1' type='checkbox'  value='2. IN ACCORDANCE WITH 46 CFR PART 67 (SUBPART I) THE VESSEL(S) TO WHICH THIS APPLICATION APPLIES;'  id='choice_182_180_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_180_1' id='label_182_180_1' class='gform-field-label gform-field-label--type-inline'>2. IN ACCORDANCE WITH 46 CFR PART 67 (SUBPART I) THE VESSEL(S) TO WHICH THIS APPLICATION APPLIES;<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_182_57\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_list_2col field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' >(b) WILL AT ALL TIMES REMAIN UNDER THE COMMAND OF A U.S. CITIZEN, UNLESS DOCUMENTED SOLELY WITH A RECREATIONAL ENDORSEMENT; WILL NOT BE OPERATED IN A TRADE NOT AUTHORIZED BY THE ENDORSEMENT(S) ON THE CERTIFICATE(S) OF DOCUMENTATION. THE NAME(S) OF THE VESSEL(S) WILL NOT BE CHANGED WITHOUT APPROVAL FROM THE NATIONAL VESSEL DOCUMENTATION CENTER; AND I (WE) WILL PROMPTLY NOTIFY THE NATIONAL VESSEL DOCUMENTATION CENTER UPON A CHANGE IN ANY OF THE INFORMATION OR REPRESENTATIONS IN THIS APPLICATION.<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_182_57'><li class='checkbox gchoice gchoice_182_57_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_57.1' type='checkbox'  value='(a) HAS (HAVE) BEEN MARKED'  id='choice_182_57_1'   aria-describedby=\"gfield_description_182_57\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_182_57_1' id='label_182_57_1' class='gform-field-label gform-field-label--type-inline'>(a) HAS (HAVE) BEEN MARKED<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_57_2'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_57.2' type='checkbox'  value='WILL BE MARKED;'  id='choice_182_57_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_57_2' id='label_182_57_2' class='gform-field-label gform-field-label--type-inline'>WILL BE MARKED;<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_182_57'>(b) WILL AT ALL TIMES REMAIN UNDER THE COMMAND OF A U.S. CITIZEN, UNLESS DOCUMENTED SOLELY WITH A RECREATIONAL ENDORSEMENT; WILL NOT BE OPERATED IN A TRADE NOT AUTHORIZED BY THE ENDORSEMENT(S) ON THE CERTIFICATE(S) OF DOCUMENTATION. THE NAME(S) OF THE VESSEL(S) WILL NOT BE CHANGED WITHOUT APPROVAL FROM THE NATIONAL VESSEL DOCUMENTATION CENTER; AND I (WE) WILL PROMPTLY NOTIFY THE NATIONAL VESSEL DOCUMENTATION CENTER UPON A CHANGE IN ANY OF THE INFORMATION OR REPRESENTATIONS IN THIS APPLICATION.<\/div><\/li><li id=\"field_182_181\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_list_inline checkbox-spacing field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_182_181'><li class='checkbox gchoice gchoice_182_181_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_181.1' type='checkbox'  value='3. HAS (HAVE) NOT   OR'  id='choice_182_181_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_181_1' id='label_182_181_1' class='gform-field-label gform-field-label--type-inline'>3. HAS (HAVE) NOT OR<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_181_2'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_181.2' type='checkbox'  value='3a. HAS (HAVE) BEEN REBUILT OR SUBSTANTIALLY ALTERED SINCE LAST DOCUMENTATION;'  id='choice_182_181_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_181_2' id='label_182_181_2' class='gform-field-label gform-field-label--type-inline'>3a. HAS (HAVE) BEEN REBUILT OR SUBSTANTIALLY ALTERED SINCE LAST DOCUMENTATION;<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_182_182\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox checkbox-spacing field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_182_182'><li class='checkbox gchoice gchoice_182_182_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_182.1' type='checkbox'  value='4. THE VESSEL IS (NOT TITLED UNDER A STATE OR TITLED UNDER THE LAWS OF [INPUT])'  id='choice_182_182_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_182_1' id='label_182_182_1' class='gform-field-label gform-field-label--type-inline'>4. THE VESSEL IS (NOT TITLED UNDER A STATE OR TITLED UNDER THE LAWS OF [INPUT])<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_182_58\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >THE VESSEL IS<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_182_58'><li class='checkbox gchoice gchoice_182_58_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_58.1' type='checkbox'  value='NOT TITLED UNDER A STATE (OR)'  id='choice_182_58_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_58_1' id='label_182_58_1' class='gform-field-label gform-field-label--type-inline'>NOT TITLED UNDER A STATE (OR)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_58_2'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_58.2' type='checkbox'  value='TITLED UNDER THE LAWS OF (INPUT BELOW)'  id='choice_182_58_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_58_2' id='label_182_58_2' class='gform-field-label gform-field-label--type-inline'>TITLED UNDER THE LAWS OF (INPUT BELOW)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_182_154\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_154'>TITLED UNDER THE LAWS OF:<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_154' id='input_182_154' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_182_60\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >THE FOLLOWING ITEM (5.) IS REQUIRED FOR COASTWISE AND\/OR FISHERY ENDORSEMENTS; HOWEVER, IT IS NOT REQUIRED FOR COASTWISE BOWATER ONLY, OIL SPILL, OR UNDER CHARTER ENDORSEMENTS.<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_182_60'><li class='checkbox gchoice gchoice_182_60_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_60.1' type='checkbox'  value='5. U.S. CONTROL CERTIFICATION: THERE IS NO CONTRACT OR UNDERSTANDING THAT PROVIDES MORE THAN 25% OF THE VOTING POWER IN THE PARTNERSHIP, LIMITED LIABILITY COMPANY, CORPORATION, OR OTHER OWNING ENTITY EITHER DIRECTLY OR INDIRECTLY ON BEHALF OF ANY PERSON NOT A CITIZEN OF THE UNITED STATES. BY NO MEANS WHATSOEVER IS CONTROL IN EXCESS OF 25% CONFERRED UPON OR PERMITTED TO BE EXERCISED BY A PERSON WHO IS NOT A CITIZEN OF THE UNITED STATES.'  id='choice_182_60_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_60_1' id='label_182_60_1' class='gform-field-label gform-field-label--type-inline'>5. U.S. CONTROL CERTIFICATION: THERE IS NO CONTRACT OR UNDERSTANDING THAT PROVIDES MORE THAN 25% OF THE VOTING POWER IN THE PARTNERSHIP, LIMITED LIABILITY COMPANY, CORPORATION, OR OTHER OWNING ENTITY EITHER DIRECTLY OR INDIRECTLY ON BEHALF OF ANY PERSON NOT A CITIZEN OF THE UNITED STATES. BY NO MEANS WHATSOEVER IS CONTROL IN EXCESS OF 25% CONFERRED UPON OR PERMITTED TO BE EXERCISED BY A PERSON WHO IS NOT A CITIZEN OF THE UNITED STATES.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_182_183\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_182_61\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >POTENTIAL PENALTIES FOR FALSE STATEMENTS OR REPRESENTATIONS BY OWNER OR REPRESENTATIVE: CIVIL, MONETARY, VESSEL FORFEITURE (46 USC 12151), FINE AND\/OR IMPRISONMENT (18 USC 1001)<\/li><li id=\"field_182_214\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_214'>Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_182_214_Container' class='gfield_signature_container ginput_container' style='height:180px; width:500px; ' ><input type='hidden' class='gform_hidden' name='input_182_214_valid' id='input_182_214_valid' \/><canvas id='input_182_214' width='500' height='180' style='border-style: Dashed; border-width: 2px; border-color: #DDDDDD; background-color:#FFFFFF; cursor: url(https:\/\/commercialfishingpermits.us\/cfpc\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><\/div><div id='input_182_214_toolbar' style='margin:5px 0;position:relative;height:20px;width:500px;max-width:100%;'><img id = 'input_182_214_resetbutton' src='data:image\/png;base64,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' style='cursor:pointer;float:right;height:24px;width:24px;border:0px solid transparent' alt='Clear Signature' \/ ><\/div><input type='hidden' id='input_182_214_data' name='input_182_214_data' value=''><\/div><\/li><li id=\"field_182_63\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_63'>DATE<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_63' id='input_182_63' type='text' value='04\/08\/2026' class='datepicker form-control gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_182_63_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_182_63_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_182_63' class='gform_hidden' value='https:\/\/commercialfishingpermits.us\/cfpc\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_182_64\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_182_64'>CAPACITY (E.G., OWNER, AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER)<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_64' id='input_182_64' type='text' value='' class='medium'  aria-describedby=\"gfield_description_182_64\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_182_64'>CAPACITY (E.G., OWNER, AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER)<\/div><\/li><li id=\"field_182_65\" class=\"gfield gfield--type-html gfield--input-type-html application_fees_section gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >APPLICATION FEES ARE NOT REFUNDABLE (46 CFR 67.500 (e)).<\/li><li id=\"field_182_66\" class=\"gfield gfield--type-html gfield--input-type-html privacy_act_section gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >PRIVACY ACT STATEMENT IN ACCORDANCE WITH 5 U.S.C. 553a, THE FOLLOWING INFORMATION IS PROVIDED TO YOU WHEN SUPPLYING PERSONAL INFORMATION TO THE U.S. COAST GUARD. 1. AUTHORITY. SOLICITATION OF THIS INFORMATION IS AUTHORIZED BY 46 U.S.C., CHAPTERS 121 AND 125; 46 U.S.C. APP. 802 AND 883. 2. THE PRINCIPAL PURPOSES FOR WHICH THIS INFORMATION IS TO BE USED ARE: (1) TO DETERMINE CITIZENSHIP OF THE OWNER OF THE VESSEL FOR WHICH APPLICATION FOR DOCUMENTATION IS MADE; AND (2) TO DETERMINE ELIGIBILITY OF THE VESSEL TO BE DOCUMENTED WITH THE TRADE ENDORSEMENT SOUGHT. 3. THE ROUTINE USES WHICH MAY BE MADE OF THIS INFORMATION INCLUDE RELEASE TO LAW ENFORCEMENT OFFICIALS, TO THE GENERAL PUBLIC UNDER FREEDOM OF INFORMATION ACT, AND TO PUBLISH INFORMATION ABOUT U.S. DOCUMENTED VESSELS. 4. DISCLOSURE OF THE INFORMATION REQUESTED ON THIS FORM IS VOLUNTARY, HOWEVER, FAILURE TO PROVIDE THE INFORMATION REQUESTED WILL RESULT IN DENIAL OF THE APPLICATION FOR DOCUMENTATION, WHICH MAY PREVENT THE OWNER FROM OPERATING THE VESSEL(S) IN A SPECIFIED TRADE.<\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type=\"button\" id=\"gform_previous_button_182_74\" class=\"gform_previous_button gform-theme-button gform-theme-button--secondary button btn btn-primary\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"previous\" value=\"Previous\"> <input type=\"button\" id=\"gform_next_button_182_74\" class=\"gform_next_button gform-theme-button button btn btn-primary\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"next\" value=\"Next\"> <a type='button' href=\"javascript:void(0);\" id='gform_save_182_3_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link btn btn-secondary gform-theme-button gform-theme-button--secondary'  > Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_182_3' class='gform_page' data-js='page-field-id-74' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_182_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_182_126\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield_price gfield_price_182_126 gfield_product_182_126 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_182_126_1'>VESSEL NAME OR HAILING PORT CHANGE<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_126.1' value='VESSEL NAME OR HAILING PORT CHANGE' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_182_126' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_126.2' id='ginput_base_price_182_126' value='$295.00' aria-label='VESSEL NAME OR HAILING PORT CHANGE Price'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_126.3' value='1' class='ginput_quantity_182_126 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_182_220\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield_price gfield_price_182_220 gfield_product_182_220 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_182_220_1'>VESSEL NAME OR HAILING PORT CHANGE - NICK<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_220.1' value='VESSEL NAME OR HAILING PORT CHANGE - NICK' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_182_220' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_220.2' id='ginput_base_price_182_220' value='$0.00' aria-label='VESSEL NAME OR HAILING PORT CHANGE - NICK Price'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_220.3' value='1' class='ginput_quantity_182_220 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_182_189\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_182_191\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Please select any additional services you wish to add to have processed<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_182_191'><li class='checkbox gchoice gchoice_182_191_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_191.1' type='checkbox'  value='Priority Request\/Rush Processing'  id='choice_182_191_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_191_1' id='label_182_191_1' class='gform-field-label gform-field-label--type-inline'>Priority Request\/Rush Processing<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_191_2'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_191.2' type='checkbox'  value='Abstract of Title'  id='choice_182_191_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_191_2' id='label_182_191_2' class='gform-field-label gform-field-label--type-inline'>Abstract of Title<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_191_3'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_191.3' type='checkbox'  value='Certified Copy of COD'  id='choice_182_191_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_191_3' id='label_182_191_3' class='gform-field-label gform-field-label--type-inline'>Certified Copy of COD<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_191_4'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_191.4' type='checkbox'  value='Preferred Mortgage'  id='choice_182_191_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_191_4' id='label_182_191_4' class='gform-field-label gform-field-label--type-inline'>Preferred Mortgage<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_191_5'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_191.5' type='checkbox'  value='Satisfaction of Mortgage'  id='choice_182_191_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_191_5' id='label_182_191_5' class='gform-field-label gform-field-label--type-inline'>Satisfaction of Mortgage<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_182_198\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield_price gfield_price_182_198 gfield_product_182_198 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_182_198_1'>Priority Request\/Rush Processing<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_198.1' value='Priority Request\/Rush Processing' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_182_198' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_198.2' id='ginput_base_price_182_198' value='$75.00' aria-label='Priority Request\/Rush Processing Price'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_198.3' value='1' class='ginput_quantity_182_198 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_182_197\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield_price gfield_price_182_197 gfield_product_182_197 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_182_197_1'>Abstract of Title<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_197.1' value='Abstract of Title' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_182_197' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_197.2' id='ginput_base_price_182_197' value='$75.00' aria-label='Abstract of Title Price'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_197.3' value='1' class='ginput_quantity_182_197 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_182_196\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield_price gfield_price_182_196 gfield_product_182_196 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_182_196_1'>Certified Copy of COD<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_196.1' value='Certified Copy of COD' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_182_196' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_196.2' id='ginput_base_price_182_196' value='$75.00' aria-label='Certified Copy of COD Price'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_196.3' value='1' class='ginput_quantity_182_196 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_182_195\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield_price gfield_price_182_195 gfield_product_182_195 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_182_195_1'>Preferred Mortgage<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_195.1' value='Preferred Mortgage' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_182_195' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_195.2' id='ginput_base_price_182_195' value='$185.00' aria-label='Preferred Mortgage Price'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_195.3' value='1' class='ginput_quantity_182_195 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_182_194\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield_price gfield_price_182_194 gfield_product_182_194 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_182_194_1'>Satisfaction of Mortgage<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_194.1' value='Satisfaction of Mortgage' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_182_194' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_194.2' id='ginput_base_price_182_194' value='$145.00' aria-label='Satisfaction of Mortgage Price'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_194.3' value='1' class='ginput_quantity_182_194 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_182_192\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield_price gfield_price_182_192 gfield_product_182_192 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_182_192_1'>Coastwise Endorsement<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_192.1' value='Coastwise Endorsement' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_182_192' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_192.2' id='ginput_base_price_182_192' value='$29.00' aria-label='Coastwise Endorsement Price'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_192.3' value='1' class='ginput_quantity_182_192 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_182_193\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield_price gfield_price_182_193 gfield_product_182_193 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_182_193_1'>Fishery Endorsement<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_193.1' value='Fishery Endorsement' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_182_193' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_193.2' id='ginput_base_price_182_193' value='$12.00' aria-label='Fishery Endorsement Price'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_193.3' value='1' class='ginput_quantity_182_193 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_182_218\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield_price gfield_price_182_218 gfield_product_182_218 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_182_218_1'>Lien\/Mortgage Processing Fee<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_218.1' value='Lien\/Mortgage Processing Fee' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_182_218' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_218.2' id='ginput_base_price_182_218' value='$54.00' aria-label='Lien\/Mortgage Processing Fee Price'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_218.3' value='1' class='ginput_quantity_182_218 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_182_188\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_182_170\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3>PRIORITY REQUEST \/ RUSH PROCESSING<\/h3><\/li><li id=\"field_182_77\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_77'>Reason for Priority Request<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_77' id='input_182_77' class='form-control textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_182_129\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_182_129'><li class='checkbox gchoice gchoice_182_129_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_129.1' type='checkbox'  value='I (we) understand that making a false statement when applying for vessel documentation may subject the vessel to seizure by and forfeiture to the United States Government (46 USC \u00a712151, formerly 46 USC \u00a712122).' checked='checked' id='choice_182_129_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_129_1' id='label_182_129_1' class='gform-field-label gform-field-label--type-inline'>I (we) understand that making a false statement when applying for vessel documentation may subject the vessel to seizure by and forfeiture to the United States Government (46 USC \u00a712151, formerly 46 USC \u00a712122).<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_182_157\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_182_162\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3>PREFERRED MORTGAGE<\/h3><\/li><li id=\"field_182_163\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >INSTRUMENT TYPE (CHECK ALL THAT APPLY)<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_182_163'><li class='checkbox gchoice gchoice_182_163_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_163.1' type='checkbox'  value='PREFERRED MORTGAGE'  id='choice_182_163_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_163_1' id='label_182_163_1' class='gform-field-label gform-field-label--type-inline'>PREFERRED MORTGAGE<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_163_2'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_163.2' type='checkbox'  value='CHATTEL MORTGAGE'  id='choice_182_163_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_163_2' id='label_182_163_2' class='gform-field-label gform-field-label--type-inline'>CHATTEL MORTGAGE<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_163_3'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_163.3' type='checkbox'  value='AMENDMENT'  id='choice_182_163_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_163_3' id='label_182_163_3' class='gform-field-label gform-field-label--type-inline'>AMENDMENT<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_163_4'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_163.4' type='checkbox'  value='ASSUMPTION'  id='choice_182_163_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_163_4' id='label_182_163_4' class='gform-field-label gform-field-label--type-inline'>ASSUMPTION<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_163_5'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_163.5' type='checkbox'  value='SUPPLEMENT'  id='choice_182_163_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_163_5' id='label_182_163_5' class='gform-field-label gform-field-label--type-inline'>SUPPLEMENT<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_163_6'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_163.6' type='checkbox'  value='SUBORDINATION'  id='choice_182_163_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_163_6' id='label_182_163_6' class='gform-field-label gform-field-label--type-inline'>SUBORDINATION<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_163_7'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_163.7' type='checkbox'  value='ASSIGNMENT'  id='choice_182_163_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_163_7' id='label_182_163_7' class='gform-field-label gform-field-label--type-inline'>ASSIGNMENT<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_163_8'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_163.8' type='checkbox'  value='OTHER (DESCRIBE)'  id='choice_182_163_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_163_8' id='label_182_163_8' class='gform-field-label gform-field-label--type-inline'>OTHER (DESCRIBE)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_182_164\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_164'>Describe<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_164' id='input_182_164' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_182_165\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_165'>NAME(S) AND ADDRESS(ES) OF GRANTOR(S) (MORTGAGOR(S), ASSIGNOR(S), ASSUMING PARTY(IES), OR OTHER(S)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_165' id='input_182_165' class='form-control textarea medium'  aria-describedby=\"gfield_description_182_165\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_182_165'>GRANTOR. FOR PURPOSES OF THIS FORM, GRANTORS INCLUDE MORTGAGORS, ASSIGNORS, PERSONS ASSUMING MORTGAGES, PERSONS GRANTING SUBORDINATION OF MORTGAGES. LIST ALL GRANTORS AND ADDRESSES. <\/div><\/li><li id=\"field_182_166\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_166'>INTEREST OWNED IN VESSEL OR HELD IN MORTGAGE AFFECTED BY ATTACHED INSTRUMENT (100% UNLESS OTHERWISE STATED)<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_166' id='input_182_166' type='text' value='' class='medium'    placeholder='IF 100%, PLEASE LEAVE BLANK'  aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_182_167\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_167'>NAME(S) AND ADDRESS(ES) OF GRANTEE(S) (MORTGAGEE(S), ASSIGNEE(S), OR OTHER(S)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_167' id='input_182_167' class='form-control textarea medium'  aria-describedby=\"gfield_description_182_167\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_182_167'>GRANTEE. FOR PURPOSES OF THIS FORM, GRANTEES\nINCLUDE MORTGAGEES, ASSIGNEES, PERSON FROM WHOM MORTGAGES ARE ASSUMED, AND PERSON TO WHOM SUBORDINATION OF MORTGAGES ARE GRANTED. LIST ALL GRANTEES AND ADDRESSES.<\/div><\/li><li id=\"field_182_168\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_168'>INTEREST OWNED IN VESSEL OR HELD IN MORTGAGE AFFECTED BY ATTACHED INSTRUMENT (100% UNLESS OTHERWISE STATED)<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_168' id='input_182_168' type='text' value='' class='medium'    placeholder='IF 100%, PLEASE LEAVE BLANK'  aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_182_169\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_169'>Amount<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_169' id='input_182_169' type='text' value='' class='medium'    placeholder='$'  aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_182_161\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_182_158\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3>SATISFACTION OF MORTGAGE<\/h3><\/li><li id=\"field_182_78\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >INSTRUMENT TYPE (CHECK ALL THAT APPLY)<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_182_78'><li class='checkbox gchoice gchoice_182_78_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_78.1' type='checkbox'  value='PREFERRED MORTGAGE'  id='choice_182_78_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_78_1' id='label_182_78_1' class='gform-field-label gform-field-label--type-inline'>PREFERRED MORTGAGE<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_78_2'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_78.2' type='checkbox'  value='CHATTEL MORTGAGE'  id='choice_182_78_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_78_2' id='label_182_78_2' class='gform-field-label gform-field-label--type-inline'>CHATTEL MORTGAGE<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_78_3'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_78.3' type='checkbox'  value='AMENDMENT'  id='choice_182_78_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_78_3' id='label_182_78_3' class='gform-field-label gform-field-label--type-inline'>AMENDMENT<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_78_4'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_78.4' type='checkbox'  value='ASSUMPTION'  id='choice_182_78_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_78_4' id='label_182_78_4' class='gform-field-label gform-field-label--type-inline'>ASSUMPTION<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_78_5'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_78.5' type='checkbox'  value='SUPPLEMENT'  id='choice_182_78_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_78_5' id='label_182_78_5' class='gform-field-label gform-field-label--type-inline'>SUPPLEMENT<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_78_6'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_78.6' type='checkbox'  value='SUBORDINATION'  id='choice_182_78_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_78_6' id='label_182_78_6' class='gform-field-label gform-field-label--type-inline'>SUBORDINATION<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_78_7'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_78.7' type='checkbox'  value='ASSIGNMENT'  id='choice_182_78_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_78_7' id='label_182_78_7' class='gform-field-label gform-field-label--type-inline'>ASSIGNMENT<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_182_78_8'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_78.8' type='checkbox'  value='OTHER (DESCRIBE)'  id='choice_182_78_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_78_8' id='label_182_78_8' class='gform-field-label gform-field-label--type-inline'>OTHER (DESCRIBE)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_182_159\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_159'>Describe<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_159' id='input_182_159' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_182_160\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_160'>NAME(S) AND ADDRESS(ES) OF GRANTOR(S) (MORTGAGOR(S), ASSIGNOR(S), ASSUMING PARTY(IES), OR OTHER(S)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_160' id='input_182_160' class='form-control textarea medium'  aria-describedby=\"gfield_description_182_160\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_182_160'>GRANTOR. FOR PURPOSES OF THIS FORM, GRANTORS INCLUDE MORTGAGORS, ASSIGNORS, PERSONS ASSUMING MORTGAGES, PERSONS GRANTING SUBORDINATION OF MORTGAGES. LIST ALL GRANTORS AND ADDRESSES. <\/div><\/li><li id=\"field_182_80\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_80'>INTEREST OWNED IN VESSEL OR HELD IN MORTGAGE AFFECTED BY ATTACHED INSTRUMENT (100% UNLESS OTHERWISE STATED)<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_80' id='input_182_80' type='text' value='' class='medium'    placeholder='IF 100%, PLEASE LEAVE BLANK'  aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_182_79\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_79'>NAME(S) AND ADDRESS(ES) OF GRANTEE(S) (MORTGAGEE(S), ASSIGNEE(S), OR OTHER(S)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_79' id='input_182_79' class='form-control textarea medium'  aria-describedby=\"gfield_description_182_79\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_182_79'>GRANTEE. FOR PURPOSES OF THIS FORM, GRANTEES\nINCLUDE MORTGAGEES, ASSIGNEES, PERSON FROM WHOM MORTGAGES ARE ASSUMED, AND PERSON TO WHOM SUBORDINATION OF MORTGAGES ARE GRANTED. LIST ALL GRANTEES AND ADDRESSES.<\/div><\/li><li id=\"field_182_81\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_81'>INTEREST OWNED IN VESSEL OR HELD IN MORTGAGE AFFECTED BY ATTACHED INSTRUMENT (100% UNLESS OTHERWISE STATED)<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_81' id='input_182_81' type='text' value='' class='medium'    placeholder='IF 100%, PLEASE LEAVE BLANK'  aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_182_82\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_82'>Amount<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_82' id='input_182_82' type='text' value='' class='medium'  aria-describedby=\"gfield_description_182_82\"  placeholder='$'  aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_182_82'>IF THE FOLLOWING INFORMATION IS UNKNOWN YOU MUST ORDER AN ABSTRACT OF TITLE UNDER ADDITIONAL SERVICES TOWARDS THE TOP OF THE PAGE.<\/div><\/li><li id=\"field_182_83\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_83'>RECORDED BOOK:<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_83' id='input_182_83' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_182_84\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_84'>Page<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_84' id='input_182_84' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_182_125\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_125'>FILE\/RECORDED DATE:<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_125' id='input_182_125' type='text' value='' class='datepicker form-control gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_182_125_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_182_125_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_182_125' class='gform_hidden' value='https:\/\/commercialfishingpermits.us\/cfpc\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_182_86\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_86'>TIME:<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_86' id='input_182_86' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_182_87\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_87'>OTHER IDENTIFYING DATA:<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_87' id='input_182_87' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_182_173\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_182_222\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div><strong>ADVANCED RENEWAL<\/strong><\/div>\nYou 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.\n<br><br><b>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. <\/b><font color=\"red\"><b>You will receive one (1) Year long certificate each year, depending on how many additional years you have ordered.<\/b><\/font> 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.<br><\/li><li id=\"field_182_199\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio advanced-renewal uscg-renewal gfield_price gfield_price_182_199 gfield_product_182_199 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >USCG RENEWAL DOCUMENTATION ADVANCED PAYMENT OPTION<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_182_199'>\n\t\t\t<li class='gchoice gchoice_182_199_0'>\n\t\t\t\t<input name='input_199' type='radio' value='No Additional Years|0'  id='choice_182_199_0'    \/>\n\t\t\t\t<label for='choice_182_199_0' id='label_182_199_0' class='gform-field-label gform-field-label--type-inline'>No Additional Years<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_182_199_1'>\n\t\t\t\t<input name='input_199' type='radio' value='1 year renewal (additional $75.00)|75'  id='choice_182_199_1'    \/>\n\t\t\t\t<label for='choice_182_199_1' id='label_182_199_1' class='gform-field-label gform-field-label--type-inline'>1 year renewal (additional $75.00)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_182_199_2'>\n\t\t\t\t<input name='input_199' type='radio' value='2 year renewal (additional $150.00)|150'  id='choice_182_199_2'    \/>\n\t\t\t\t<label for='choice_182_199_2' id='label_182_199_2' class='gform-field-label gform-field-label--type-inline'>2 year renewal (additional $150.00)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_182_199_3'>\n\t\t\t\t<input name='input_199' type='radio' value='3 year renewal (additional $225.00)|225'  id='choice_182_199_3'    \/>\n\t\t\t\t<label for='choice_182_199_3' id='label_182_199_3' class='gform-field-label gform-field-label--type-inline'>3 year renewal (additional $225.00)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_182_199_4'>\n\t\t\t\t<input name='input_199' type='radio' value='4 year renewal (additional $300.00)|300'  id='choice_182_199_4'    \/>\n\t\t\t\t<label for='choice_182_199_4' id='label_182_199_4' class='gform-field-label gform-field-label--type-inline'>4 year renewal (additional $300.00)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_182_199_5'>\n\t\t\t\t<input name='input_199' type='radio' value='5 year renewal (additional $375.00)|375'  id='choice_182_199_5'    \/>\n\t\t\t\t<label for='choice_182_199_5' id='label_182_199_5' class='gform-field-label gform-field-label--type-inline'>5 year renewal (additional $375.00)<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_182_186\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_182_102\" class=\"gfield gfield--type-total gfield--input-type-total gfield_price gfield_price_182_ gfield_total gfield_total_182_ field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" ><label class='gfield_label gform-field-label' for='input_182_102'>Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<span class='ginput_total ginput_total_182'>$0.00<\/span>\n\t\t\t\t\t\t\t<input type='hidden' name='input_102' id='input_182_102' class='gform_hidden'\/>\n\t\t\t\t\t\t<\/div><\/li><li id=\"field_182_89\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Authorization<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_182_89'><li class='checkbox gchoice gchoice_182_89_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_89.1' type='checkbox'  value='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&#039;s no refund policy and as per 46 CFR 67.500(e)' checked='checked' id='choice_182_89_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_89_1' id='label_182_89_1' class='gform-field-label gform-field-label--type-inline'>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)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_182_172\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_182_228\" class=\"gfield gfield--type-stripe_creditcard gfield--input-type-stripe_creditcard field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--type-stripe_creditcard-payment-element\"  ><label class='gfield_label gfield_label_before_complex gform-field-label' for='input_182_228_1'>Credit Card<\/label><div class='ginput_complex ginput_container ginput_container_creditcard ginput_stripe_creditcard gform-grid-row' id='input_182_228'><div class='ginput_full gform-grid-col' id='input_182_228_1_container' data-payment-element='true'><div id='input_182_228_1' class='StripeElement--payment-element'><\/div><\/div><!-- .ginput_full --><\/div><!-- .ginput_container -->\r\n\t\t\t<style type=\"text\/css\">\r\n\t\t\t\t:root {\r\n  \t\t\t\t\t--link-login-string: \"Link login\"\r\n\t\t\t\t}\r\n\t\t\t<\/style><\/li><li id=\"field_182_185\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_182_96\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label gfield_label_before_complex' >Having Trouble? Check this box to move forward without your Credit Card<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_182_96'><li class='checkbox gchoice gchoice_182_96_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_96.1' type='checkbox'  value='*My card information is not working; I would like to continue my submission and receive a call from a specialist regarding payment'  id='choice_182_96_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_182_96_1' id='label_182_96_1' class='gform-field-label gform-field-label--type-inline'>*My card information is not working; I would like to continue my submission and receive a call from a specialist regarding payment<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_182_97\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_182_98\" class=\"gfield gfield--type-address gfield--input-type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >YOUR BILLING ADDRESS<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_182_98' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_182_98_1_container' >\n                                        <input class='form-control' type='text' name='input_98.1' id='input_182_98_1' value=''    aria-required='true'    \/>\n                                        <label for='input_182_98_1' id='input_182_98_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_182_98_2_container' >\n                                        <input class='form-control' type='text' name='input_98.2' id='input_182_98_2' value=''     aria-required='false'   \/>\n                                        <label for='input_182_98_2' id='input_182_98_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_182_98_3_container' >\n                                    <input class='form-control' type='text' name='input_98.3' id='input_182_98_3' value=''    aria-required='true'    \/>\n                                    <label for='input_182_98_3' id='input_182_98_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_182_98_4_container' >\n                                        <input class='form-control' type='text' name='input_98.4' id='input_182_98_4' value=''      aria-required='true'    \/>\n                                        <label for='input_182_98_4' id='input_182_98_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_182_98_5_container' >\n                                    <input class='form-control' type='text' name='input_98.5' id='input_182_98_5' value=''    aria-required='true'    \/>\n                                    <label for='input_182_98_5' id='input_182_98_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_182_98_6_container' >\n                                        <select class='form-control' class='form-control' name='input_98.6' id='input_182_98_6'   aria-required='true'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' selected='selected'>United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_182_98_6' id='input_182_98_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_182_184\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_182_99\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_182_99_container'>\n                                <span id='input_182_99_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='form-control' class='' type='email' name='input_99' id='input_182_99' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_182_99' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_182_99_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='form-control' class='' type='email' name='input_99_2' id='input_182_99_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_182_99_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><li id=\"field_182_100\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_182_100'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input class='form-control' name='input_100' id='input_182_100' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_182_100\"  \/><\/div><div class='gfield_description' id='gfield_description_182_100'>(###) ###-####<\/div><\/li><\/ul><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type=\"submit\" id=\"gform_previous_button_182\" class=\"gform_previous_button gform-theme-button gform-theme-button--secondary button btn btn-primary\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"previous\" value=\"Previous\"> <input type=\"submit\" id=\"gform_submit_button_182\" class=\"gform_button button btn btn-primary\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"submit\" value=\"Submit\"> <a type='button' href=\"javascript:void(0);\" id='gform_save_182_footer_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link btn btn-secondary gform-theme-button gform-theme-button--secondary'  > Save and Continue Later<\/a>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_182' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_182' id='gform_theme_182' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_182' id='gform_style_settings_182' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_182' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='182' \/>\n            <input type='hidden' class='gform_hidden' name='gform_save' id='gform_save_182' value='' \/>\n                             <input type='hidden' class='gform_hidden' name='gform_resume_token' id='gform_resume_token_182' value='' \/>\n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='oGAwSanSp1edmujOL8vojf8cVzMCVVSXpZkXu1Fn7z3Ch7P4iX2EZ\/KL8gczr6VjY9lkSFOQGehSpPZRtr9BAu1zj4wd\/+5DHSejHx4jPX8McYA=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_182' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_182' id='gform_target_page_number_182' value='2' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_182' id='gform_source_page_number_182' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n             <\/div><\/div>\n                        <\/form>\n                        <\/div><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n gform.initializeOnLoaded( function() {gformInitSpinner( 182, 'https:\/\/commercialfishingpermits.us\/cfpc\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_182').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_182');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_182').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_182').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_182').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_182').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/ jQuery(document).scrollTop(jQuery('#gform_wrapper_182').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_182').val();gformInitSpinner( 182, 'https:\/\/commercialfishingpermits.us\/cfpc\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [182, current_page]);window['gf_submitting_182'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_182').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_182').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [182]);window['gf_submitting_182'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_182').text());}else{jQuery('#gform_182').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"182\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_182\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_182\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_182\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 182, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} ); \n\/* ]]> *\/\n<\/script>\n<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":4440,"menu_order":9,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-4486","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Change of Vessel Name or Hailing Port - Commercial Fishing Permits Center<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/commercialfishingpermits.us\/cfpc\/united-states-coast-guard-documentation\/change-of-vessel-name-or-hailing-port\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Change of Vessel Name or Hailing Port - Commercial Fishing Permits Center\" \/>\n<meta property=\"og:url\" content=\"https:\/\/commercialfishingpermits.us\/cfpc\/united-states-coast-guard-documentation\/change-of-vessel-name-or-hailing-port\/\" \/>\n<meta property=\"og:site_name\" content=\"Commercial Fishing Permits Center\" \/>\n<meta property=\"article:modified_time\" content=\"2020-12-12T20:16:33+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/commercialfishingpermits.us\/cfpc\/united-states-coast-guard-documentation\/change-of-vessel-name-or-hailing-port\/\",\"url\":\"https:\/\/commercialfishingpermits.us\/cfpc\/united-states-coast-guard-documentation\/change-of-vessel-name-or-hailing-port\/\",\"name\":\"Change of Vessel Name or Hailing Port - Commercial Fishing Permits Center\",\"isPartOf\":{\"@id\":\"https:\/\/commercialfishingpermits.us\/cfpc\/#website\"},\"datePublished\":\"2020-12-05T19:59:20+00:00\",\"dateModified\":\"2020-12-12T20:16:33+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/commercialfishingpermits.us\/cfpc\/united-states-coast-guard-documentation\/change-of-vessel-name-or-hailing-port\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/commercialfishingpermits.us\/cfpc\/united-states-coast-guard-documentation\/change-of-vessel-name-or-hailing-port\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/commercialfishingpermits.us\/cfpc\/united-states-coast-guard-documentation\/change-of-vessel-name-or-hailing-port\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/commercialfishingpermits.us\/cfpc\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"United States Coast Guard Documentation\",\"item\":\"https:\/\/commercialfishingpermits.us\/cfpc\/united-states-coast-guard-documentation\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Change of Vessel Name or Hailing Port\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/commercialfishingpermits.us\/cfpc\/#website\",\"url\":\"https:\/\/commercialfishingpermits.us\/cfpc\/\",\"name\":\"Commercial Fishing Permits Center\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/commercialfishingpermits.us\/cfpc\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Change of Vessel Name or Hailing Port - Commercial Fishing Permits Center","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/commercialfishingpermits.us\/cfpc\/united-states-coast-guard-documentation\/change-of-vessel-name-or-hailing-port\/","og_locale":"en_US","og_type":"article","og_title":"Change of Vessel Name or Hailing Port - Commercial Fishing Permits Center","og_url":"https:\/\/commercialfishingpermits.us\/cfpc\/united-states-coast-guard-documentation\/change-of-vessel-name-or-hailing-port\/","og_site_name":"Commercial Fishing Permits Center","article_modified_time":"2020-12-12T20:16:33+00:00","twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/commercialfishingpermits.us\/cfpc\/united-states-coast-guard-documentation\/change-of-vessel-name-or-hailing-port\/","url":"https:\/\/commercialfishingpermits.us\/cfpc\/united-states-coast-guard-documentation\/change-of-vessel-name-or-hailing-port\/","name":"Change of Vessel Name or Hailing Port - Commercial Fishing Permits Center","isPartOf":{"@id":"https:\/\/commercialfishingpermits.us\/cfpc\/#website"},"datePublished":"2020-12-05T19:59:20+00:00","dateModified":"2020-12-12T20:16:33+00:00","breadcrumb":{"@id":"https:\/\/commercialfishingpermits.us\/cfpc\/united-states-coast-guard-documentation\/change-of-vessel-name-or-hailing-port\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/commercialfishingpermits.us\/cfpc\/united-states-coast-guard-documentation\/change-of-vessel-name-or-hailing-port\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/commercialfishingpermits.us\/cfpc\/united-states-coast-guard-documentation\/change-of-vessel-name-or-hailing-port\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/commercialfishingpermits.us\/cfpc\/"},{"@type":"ListItem","position":2,"name":"United States Coast Guard Documentation","item":"https:\/\/commercialfishingpermits.us\/cfpc\/united-states-coast-guard-documentation\/"},{"@type":"ListItem","position":3,"name":"Change of Vessel Name or Hailing Port"}]},{"@type":"WebSite","@id":"https:\/\/commercialfishingpermits.us\/cfpc\/#website","url":"https:\/\/commercialfishingpermits.us\/cfpc\/","name":"Commercial Fishing Permits Center","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/commercialfishingpermits.us\/cfpc\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/commercialfishingpermits.us\/cfpc\/wp-json\/wp\/v2\/pages\/4486","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/commercialfishingpermits.us\/cfpc\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/commercialfishingpermits.us\/cfpc\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/commercialfishingpermits.us\/cfpc\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/commercialfishingpermits.us\/cfpc\/wp-json\/wp\/v2\/comments?post=4486"}],"version-history":[{"count":3,"href":"https:\/\/commercialfishingpermits.us\/cfpc\/wp-json\/wp\/v2\/pages\/4486\/revisions"}],"predecessor-version":[{"id":4489,"href":"https:\/\/commercialfishingpermits.us\/cfpc\/wp-json\/wp\/v2\/pages\/4486\/revisions\/4489"}],"up":[{"embeddable":true,"href":"https:\/\/commercialfishingpermits.us\/cfpc\/wp-json\/wp\/v2\/pages\/4440"}],"wp:attachment":[{"href":"https:\/\/commercialfishingpermits.us\/cfpc\/wp-json\/wp\/v2\/media?parent=4486"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}