Satisfaction/Release of Mortgage To be filed and recorded in accordance with 46 CFR, Part 67, Subpart S (67.265) Failure to provide the 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 NAME 2. OFFICIAL NUMBER OR OTHER UNIQUE IDENTIFIER(Required) LIST COAST GUARD ASSIGNED OFFICIAL NUMBER, MANUFACTURER’S HULL IDENTIFICATION NUMBER (HIN) ASSIGNED IN ACCORDANCE WITH RULES IN 33 CFR, OR OTHER UNIQUE IDENTIFIER, (STATE MOTORBOAT NUMBERS ARE NOT CONSIDERED UNIQUE IDENTIFIERS.)3. INSTRUMENT TYPE (CHECK ALL THAT APPLY) PREFERRED MORTGAGE CHATTEL MORTGAGE AMENDMENT SUPPLEMENT SUBORDINATION ASSIGNMENT OTHER Describe 4. 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.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.PERCENTAGE OF VESSEL MORTGAGED OR MORTGAGE ASSIGNED (100% UNLESS OTHERWISE STATED) 6. AMOUNT IF 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: AUTHORIZED SIGNATURE(Required) SIGNATURE (TYPE FULL NAME)Signature(Required)CAPACITY (E.G., OWNER, AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER) CAPACITY (E.G., OWNER, AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER)Product Name Price: SATISFACTION / RELEASE OF MORTGAGE / LIEN Price: DELETION FROM USCG DOCUMENTATION Price: PLEASE SELECT ANY ADDITIONAL SERVICES YOU WISH TO HAVE PROCESSEDPlease note that all Abstracts of Title(s) will be processed at time of submission. To acquire an Abstract of Title to furnish proof of the completion of an application, or mortgage/instrument, please apply after the applicable application has been processed. Priority Request/Rush Processing Add abstract of title Add certified copy COD Deletion from USCG Documentation Deletion from USCG DocumentationVESSEL NAME AND OFFICIAL #(Required) Official Number or other unique identifer (ex. HIN) Reason for Deletion(Required)USCG RENEWAL DOCUMENTATION ADVANCED PAYMENT OPTIONNOTE: Your yearly certificate will be valid for one year only. You will receive one (1) Year long certificate each year, depending on how many additional years you have ordered. For each individual year of renewal, a new renewal will be AUTOMATICALLY forwarded to your designated address at the time of renewal(s). This may require that the vessel owner update their current address to facilitate the renewal process. 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 Authorization(Required) 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. 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