Principle Sum Mortgage of a Vessel

Vessel Name*

Vessel Use / Endorsement*

Pleasure
Commercial

Official Number*

Confirm Official Number*

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

Details of Vessel

Is this mortgage in respect to a Fishing Vessel?*

Yes
No

The Mortgage

I/We: Full Name(s) / Company Name

Address

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

In consideration of: State the amount of the loan in figures

In consideration of: State the amount of the loan in words

lent to *me/us today by 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)

do hereby bind *myself/ourselves firstly that *I/we will pay to the mortgagee(s) the said sum of

State the amount of the loan in figures

State the amount of the loan in words

together with the interest thereon at a rate of % per annum

on the day of

(month)

and secondly, that if the said principal sum is not paid on the same day, *I/we will during such time as the same or any part thereof remains unpaid, pay to the mortgagee(s), interest on the whole or such part thereof as may for the time being unpaid at the rate of % per annum by equal half-yearly payments

On the (day)

and month of:

and on the day of:

and month of:

For the purpose of better securing to the mortgagee(s) the sums mentioned above. *I/we hereby mortgage to the mortgagee(s)

State the number of shares in figures

State the number of shares in words

Please select applicable section that describes who will be discharging the mortgage:

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

Authorised Signatory

Witnessed By

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 indivdual(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*

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*

American Express

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MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

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