Seller Disclosure - Houston Sailing

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In order to properly represent your vessel we will need to know some current and historical information. The information provided below will be disclosed to the prospective buyer by the seller (prior owner) of the vessel and said information is acknowledged as having been disclosed and taken into account for the agreed price on the vessel between seller and prospective buyer.

Please answer all questions. If it is not applicable please type NO into the box

Name of current owner(s)

Phone

Boat Name

Hull Identification Number

If the veesel foriegn built, has the vessel been imported and do you have proof in the form of a Receipt (CBP form 7501) ?

Yes No

Has sustained hull damages as a result of collision or grounding and is described as follows:

Has sustained damages as a result of flooding or sinking and is described as follows:

Has sustained damages as a result of fire as follows:

Has been repaired as a result of a warranty claim and was repaired by and described as follows:

Has sustained a lightning loss resulting in damages and is described as follows:

Has had major propelling engine or generator problems or rebuilds as described as follows:

Has had peel, sand blast or grind out of osmotic blisters and prophylactic coatings described as follows:

Has had water intrusion to coring in deck or hull described as follows:

Has been denied insurance coverage and is described as follows:

Has had corrosion issues described as follows:

Last haul out and bottom paint:

Bottom paint type:

Engine Hours Port

Engine Hours Starboard

Generator Hours

Age and type of house batteries:

Age and type of starting batteries:

Have you performed the scheduled maintenance procedures outlined by manufacturer for suggested service intervals on engine(s) and generator components. Can you provide documentation:

My vessel has sustained an insured loss while in my possession as described below

By Checking this box I/we, the current owner(s), do hereby attest to the accuracy to the best of my/our knowledge and give permission that this information be share with a prospective buyer.