The Arizona 676 form is a document used to facilitate the registration of a watercraft in Arizona when a lien holder is involved. This form requires the lien holder's signature and a copy of the title to ensure that the registration process complies with state regulations. Proper completion of the Arizona 676 form is essential for applicants seeking to register their watercraft legally.
The Arizona 676 form plays a crucial role in the registration process of watercraft within the state, particularly when a lien holder is involved. This document is designed to facilitate communication between the applicant, who seeks to register their watercraft, and the lien holder, who holds a legal claim to the vessel. Essential information required on the form includes the applicant's name, contact details, and specifics about the watercraft, such as its make and Hull Identification Number (HIN). Additionally, the lien holder must provide their own information and sign the form, thereby confirming their consent to the registration process. It is important to note that Arizona operates under a unique regulatory framework; it does not require titles for watercraft, which means that lien holders will not appear on the registration itself. Instead, to secure a lien, they must file a UCC-1 Form with the Arizona Secretary of State. This form also necessitates notarization, ensuring that the signatures are verified and legally binding. Understanding the nuances of the Arizona 676 form is essential for both applicants and lien holders to navigate the registration process smoothly and comply with state regulations.
ARIZONA GAME AND FISH DEPARTMENT
15.22
5000 WEST CAREFREE HIGHWAY
Page 1 of 1
PHOENIX ARIZONA 85086
TO BE COMPLETED BY APPLICANT
Name of Applicant:
Street:
City:
State:
Zip:
Re: Watercraft Make:
HIN:
Phone Number:
Date:
The above listed applicant has attempted to register a watercraft, in Arizona, on which you are a lien holder. To
accomplish this we need your assistance. Please sign this form and include the title or a copy of the title you are
holding. Return both documents to your client to submit with their application.
TO BE COMPLETED BY LIEN HOLDER
Lien Holder:
Address:
Federal Coast Guard law requires watercraft to be registered in the state of principal use.
Arizona is not a title state. No lien holder will be shown on the registration. To perfect a lien in Arizona
you may file a UCC-1 Form with the Arizona Secretary of State.
I,
,
representing
Name
Title
The lien holder on the above referenced
Company or Business
watercraft at this time, submit title or copy of title for Arizona registration.
Signature
State of:
County of:
Subscribed and sworn to (or affirmed) before me this
Place Notary Stamp Above
My Commission Expires on
Day of
, 20
***AGFD USE ONLY***
Name of State:
Contact Name:
AGFD OPM:
Form 676 (Revised 10/07)
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