Notice of Claim of Lien (NCL) - National Documentation Portal

These are general instructions highlighting the minimum filing and recording requirements. There is no OMB approved Notice of Claim of Lien form. Guidance on the elements and validity of a maritime lien should be obtained through private legal counsel in accordance with 46 CFR Part 67.250.nDISCLAIMER: NEITHER THE FILING OF A NOTICE OF CLAIM OF LIEN NOR THE ACCEPTANCE BY THE COAST GUARD OF SUCH A NOTICE IS A GUARANTEE THAT THE CLAIM IS VALID OR ENFORCEABLE.

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VESSEL NAME

OFFICIAL NUMBER*

HULL ID NUMBER (HID) *IF APPLICABLE

NAME OF CLAIMANT (INDIVIDUALS/ENTITIES WHO ARE OWED MONEY)

First Last

ADDRESS OF CLAIMANT (INDIVIDUALS/ENTITIES WHO ARE OWED MONEY)

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

AMOUNT OF CLAIM

DATE OF CLAIM

NATURE OF LIEN CLAIMED (DESCRIBE)

ACKNOWLEDGMENT

THE INFORMATION STATED ABOVE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE, INFORMATION, AND BELIEF.

AUTHORIZED SIGNATURE*

SIGNATURE (TYPE FULL NAME)

Signature*

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

NOTICE OF CLAIM OF LIEN( NCL)

Price:

PLEASE SELECT ANY ADDITIONAL SERVICES YOU WISH TO ADD TO HAVE PROCESSED

Priority Request/Rush Processing

Abstract of Title

Certified Copy of COD

Total

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 Online, a private documentation firm. I understand that application and processing fees are non-refundable as per Vessel Documentation Online's no refund policy and as per 46 CFR 67.500(e). I understand that submitting another application for vessel documentation will supersede the current/pending application for that vessel.

Credit Card*

Card Details

Cardholder Name

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BILLING ADDRESS*

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

Name*

First Last

Email*

Enter Email Confirm Email

Phone*