Mortgage of a Vessel - UK Vessel Registrar

Vessel Name

Vessel Use / Endorsement*

Pleasure
Commercial

Official Number*

Confirm Official Number*

The mortgage reference number (issued by the mortgagee) is:

Is this mortgage in respect of a Fishing Vessel?

Yes
No

The Mortgage

Whereas there is:

Choose between

"an account current"
other obligation

State "an account current'

Write a short description of the obligation.

Between

Full Name(s) / Company Name

Address

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

(Place of Business in respect of a company)

The Mortgage (continued)

and

Full Name(s) / Company Name

Address

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

(Place of Business in respect of a company)

Describe full the nature of the liabilities secured. You may refer to another document

Other Obligation

I/we the mortagor(s) in consideration

bind *myself/ourselves to

State the shares, in both figures and words

State the shares in figures

State the shares in words

Please select applicable section that describes the type of mortgagor that owns the vessel:

The mortgagor is a company
The mortgagor(s) are one or more individuals
The mortgagor(s) are a Limited Liability Partnership

Complete if the mortgagor is a company

Director

Director or Secretary

Authorized Signatory

Name of Witness

Address of Witness

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

Complete if the mortgagor(s) is/are one or more individual(s)

Name of Witness

Address of Witness

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

Occupation of Witness

Name of Witness

Address of Witness

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

Occupation of Witness

Complete if the mortgagor(s) are a limited liability partnership

Member

Name of Witness

Address of Witness

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

Contact Information

Name

First Last

Email*

Enter Email Confirm Email

Phone*

Application Fee

Price:

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*

Email*

Enter Email Confirm Email

CAPACITY OF PERSON SIGNING (E.G., OWNER, AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER)

Date

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 documents. I understand that my application will be processed in the order in which it is received by UK Vessel Registrar, 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 UK Vessel Registrar's no refund policy.

Payment Information*

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