Request for Reissue and Transfer of Foreclosed Entry Permit

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This Form is for Commercial Fisheries Entry Commission Request for Reissue and Transfer of Foreclosed Entry Permit

A brief description of the form or Application to be filled out here.

Vessel Name
Official Number
Vessel Use / Endorsement
- Pleasure
- Commercial
Confirm Official Number
PERMIT INFORMATION: Must be completed by the current permit holder
A request is hereby made for the entry permit number, _______to be permanently transferred to the transferee listed on this form.
The above referenced entry permit was properly foreclosed on by the Department of Commerce, Community and Economic Development under AS 16.10.335 or the Alaska Commercial Fishing and Agriculture Bank (CFAB) under AS 44.81, and the proposed transferee meets the qualifi cations for permanent transfer and reissuance of the permit in question and as outlined in AS 16.10.333 - 16.10.338 or AS 44.81.225, and 44.81.231- 44.81.250
TRANSFEREE INFORMATION: Must be completed by the proposed transferee
Name of Transferee
Social Security Number
Date of Birth
MM slash DD slash YYYY
ADFG Number
Permanent Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone Number
- Check if Unlisted
Email
Citizenship
- U.S. Citizen
- Alien
Alien Reg #
PERMIT RENEWAL INFORMATION: Please carefully review the following definition of residency: 20 AAC 05.290. "For the purpose of assessing fees for the application for, annual issuance of, or renewal of entry and interim-use permits, an individual is a resident of this state if, on the date of permit application, issuance, or renewal, and throughout the 12-month period before that date, that individual maintained their domicile in this state and neither claimed residency in another state, territory, or country nor obtained benefits under a claim of residency in another state, territory, or country."
Do you qualify as an Alaska resident under this definition?
- Yes
- No
If you claim Alaska residency, please provide some additional information for verification:
1. What is your current physical address: (No PO boxes)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
2. Within the previous 365 days, have you resided anywhere else?
- Yes
- No
If yes, where?
3. Do you have a current Alaska driver's license or other Alaska ID?
- Yes
- No
If yes, provide number:
***NOTE: If you answered 'no' to question 3 or 4, please provide a brief explanation of why you qualify as an Alaska resident
REQUIRED PERMANENT TRANSFER INFORMATION
The information requested in this survey is required for all transfers.
TO BE COMPLETED BY THE PROPOSED TRANSFEREE
1. How did you locate this permit for permanent transfer? (check one answer)
- Relative or personal friend
- Casual acquaintance
- Commission's list of permits
- Broker
- Fish processor
- Advertisement
- Other
If other, explain
2. What is your relationship to the permit holder? (check one answer)
- None
- Business partner
- Personal friend
- Member of immediate family
- Other relative
- Other
If other, explain
3. How is the permit being acquired? (check one answer)
- Permit purchase only
- Combined purchase (with vessel, gear, site, etc.)
- Gift
- Trade
- Inheritance
- Other
If other, explain
4. What is the purchase price or trade value each item you will obtain in this transfer?
Permit $
Vessel $
Gear $
Site $
Other (explain) $
Total Package $
5. What sources of financing are being used? Personal Resources (incl. cash) $
If any person or entity is providing any money to help you pay for the permit, please provide the information requested below and you must submit your agreement with that person or entity in writing along with this completed transfer form.
Name and address of person or entity providing money:
Amount of money they are providing $
DCCED (Division of Economic Development) $
Fish Processor (you must submit the promissory note) $
AK Comm Fish & Agri Bank (CFAB) $
Bank or other lending institution (you must submit the promissory note) $
Transferor (seller) $
Trade 1 item and value $
Trade 2 item and value $
Trade 3 item and value $
Sum of all trade item values.
Other
6. If permit is being transferred as a gift, is it being transferred with any terms or conditions? (check your answer). If yes, you MUST submit the agreement in writing.
- No
- Yes
7. Is there an agreement concerning future transfers of this permit? (check your answer). If yes, you MUST submit the agreement in writing.
- No
- Yes
8. Is there an agreement for you to pay the transferor a portion of your earnings from fi shing the permit? (check your answer). If yes, you MUST submit the agreement in writing.
- No
- Yes
TO BE COMPLETED BY THE CURRENT PERMIT HOLDER
1. Are you and/or the transferee using the services of a broker to transfer this permit? (check one answer)
- No
- Yes
If yes, which firm or person is acting as broker?
2. How much are you paying in brokers fees for the permit sale?
3. What is the net price you will receive from the sale of the permit?
4. How is the purchase price to be paid to you? (check one answer)
- In full at time of transfer
- In periodic payments over time
5. What is your reason for transferring the permit? (check one answer)
- Retirement
- Health problem
- Entering a different fishery
- To pursue a non-fishing occupation.
- Fishing is no longer profitable.
- Other
If other, explain
THIS SECTION IS OPTIONAL AND IS NOT REQUIRED
The section is protected by the Alaska Human Rights Law AS 18.80.255.
What is your ethnic origin for Permit Holder: (check your answers)
- Alaska Native
- Caucasian
- Black
- Asian
- Hispanic
- Other
If other, please share
What is your ethnic origin for Transferee: (check your answers)
- Alaska Native
- Caucasian
- Black
- Asian
- Hispanic
- Other
If other, please share
Commercial Fisheries Entry Commission Credit Card Authorization
Please indicate the permit and/or vessel numbers in the space provided and the total amount you are authorizing your card to be charged.
Enter Permit(s)
Fee amount for Permit(s)
Enter Vessel(s)
Fee amount for Vessel(s)
Transfer Fees ($50):
Duplicate Fees ($20):
Immediate Fishing ($80):
- Check here to have your licenses express mailed and that you agree to pay the current USPS express mail rate PLUS the CFEC service fee of $15.00.
Total amount to be charged.
Application Fee
Price:
RENEWAL ADVANCED PAYMENT OPTION
- No Additional Years
- 2 year renewal
- 3 year renewal
- 4 year renewal
- 5 year renewal
Total
$0.00
Consent
I agree
I CERTIFY THAT THE RECITATIONS CONCERNING THE VESSEL: NAME, TONNAGE, DIMENSIONS, PROPULSION, OWNERSHIP, HAILING PORT, RESTRICTIONS, ENTITLEMENTS, REMARKS AND ENDORSEMENTS CONTAINED IN THE CERTIFICATE OF DOCUMENTATION REMAIN ABSOLUTELY THE SAME.
NAME:
Type your full name to sign this secure webform
Signature
CAPACITY OF PERSON SIGNING (E.G., OWNER, AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER)
Date
MM slash DD slash YYYY
Authorization
I agree
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 permits. I understand that my application will be processed in the order in which it is received by 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 Commercial Fishing Permits Center's no refund policy. I understand that submitting another application for a license or permit will supersede the current/pending application for that license or permit. I understand that Commercial Fishing Permits Center does not issue or sell any licenses or permits.
Credit Card
Card Details
Cardholder Name
Having Trouble with your card?
My card information is not working
Check this box to move forward without your Credit Card.
BILLING ADDRESS
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
By clicking submit you agree to these Terms and Conditions and the above authorization of payment.

PERMIT INFORMATION: Must be completed by the current permit holder

TRANSFEREE INFORMATION: Must be completed by the proposed transferee

REQUIRED PERMANENT TRANSFER INFORMATION

TO BE COMPLETED BY THE PROPOSED TRANSFEREE

TO BE COMPLETED BY THE CURRENT PERMIT HOLDER

THIS SECTION IS OPTIONAL AND IS NOT REQUIRED

Commercial Fisheries Entry Commission Credit Card Authorization