Satisfaction / Release of Mortgage / Lien SATISFACTION/RELEASE OF MORTGAGE To be filed and recorded in accordance with 46 CFR, Part 67, Subpart S (67.265) Any failure to provide the U.S. Coast Guard with an acknowledged certificate of discharge of the indebtedness on full and final discharge of the indebtedness under a recorded mortgage may subject the mortgagee to a civil penalty of not more than $10,000 (46 U.S.C. 31309/31321(f)).1. VESSEL NAME2. OFFICIAL NUMBER OR OTHER UNIQUE IDENTIFIERPLEASE LIST COAST GUARD ASSIGNED OFFICIAL NUMBER, MANUFACTURERu2019S HULL IDENTIFICATION NUMBER (HIN) ASSIGNED IN ACCORDANCE WITH RULES IN 33 CFR, OR OTHER UNIQUE IDENTIFIER, (STATE MOTORBOAT NUMBERS ARE NOT CONSIDERED TO BE UNIQUE IDENTIFIERS.)3. SELECT INSTRUMENT TYPE (CHECK ALL THAT APPLY) PREFERRED MORTGAGE CHATTEL MORTGAGE AMENDMENT SUPPLEMENT SUBORDINATION ASSIGNMENT OTHER Describe4. NAME(S) AND ADDRESS(ES) OF GRANTOR(S) (MORTGAGOR(S), ASSIGNOR(S), ASSUMING PARTY(IES), OR OTHER(S)GRANTOR. FOR PURPOSES OF THIS FORM, GRANTORS INCLUDE MORTGAGORS, ASSIGNORS, PERSONS ASSUMING MORTGAGES, PERSONS GRANTING SUBORDINATION OF MORTGAGES. LIST ALL GRANTORS AND ADDRESSES.PLEASE SPECIFY INTEREST OWNED IN VESSEL OR HELD IN MORTGAGE AFFECTED BY ATTACHED INSTRUMENT (100% UNLESS OTHERWISE STATED)5. NAME(S) AND ADDRESS(ES) OF GRANTEE(S) (MORTGAGEE(S), ASSIGNEE(S), OR OTHER(S)GRANTEE. FOR PURPOSES OF THIS FORM, GRANTEES INCLUDE MORTGAGEES, ASSIGNEES, PERSON FROM WHOM MORTGAGES ARE ASSUMED, AND PERSON TO WHOM SUBORDINATION OF MORTGAGES ARE GRANTED. LIST ALL GRANTEES AND ADDRESSES.PLEASE SPECIFY PERCENTAGE OF VESSEL MORTGAGED OR MORTGAGE ASSIGNED (100% UNLESS OTHERWISE STATED)6. AMOUNTIF THE FOLLOWING INFORMATION IS UNKNOWN YOU MUST ORDER AN ABSTRACT OF TITLE UNDER ADDITIONAL SERVICES.RECORDED BOOK:PageFILE/RECORDED DATE: MM slash DD slash YYYY TIME:OTHER IDENTIFYING DATA:This field is hidden when viewing the formThis field is hidden when viewing the formDigital Signature of Owner or person acting for OwnerProduct Name Price: SATISFACTION / RELEASE OF MORTGAGE / LIEN Price: Please select any additional services you wish to add to have processed Priority Request/Rush Processing Abstract of Title Certified Copy of COD Deletion from USCG Documentation Priority Request/Rush Processing Price: Abstract of Title Price: Certified Copy of COD Price: Deletion from USCG Documentation Price: Deletion from USCG DocumentationVESSEL NAME AND OFFICIAL #*Official Number or other unique identifer (ex. HIN)Reason for Deletion*USCG RENEWAL DOCUMENTATION ADVANCED PAYMENT OPTIONNOTE: The NVDC issues a Certificate of Documentation (COD) for commercial vessels with a one-year validity period. If you purchase the Multi-Year Renewal option, you will receive a new certificate each year during your expiration month, for the number of years purchased, sent to the address on file. A single certificate covering the entire renewal period will not be provided. No Additional Years 1 year renewal (additional $75.00) 2 year renewal (additional $150.00) 3 year renewal (additional $225.00) 4 year renewal (additional $300.00) 5 year renewal (additional $375.00) Total $0.00 AUTHORIZED SIGNATURE*SIGNATURE (TYPE FULL NAME)Signature*CAPACITY OF PERSON SIGNING (E.G., OWNER, AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER)Authorization* I agree to pay the above total amount according to the card issuer agreement and hereby authorize the charge for the total amount above for the processing of selected USCG documents. I understand that my application will be processed in the order in which it is received by Vessel Documentation 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 Vessel Documentation Center and as per 46 CFR 67.500(e) PAYMENT INFORMATION* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Expiration Date Security Code Cardholder Name This field is hidden when viewing the formThis field is hidden when viewing the formHaving Trouble? 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By: Vessel Documentation Center | July 5, 2016