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© 2016 Bache Marine Consulting | 419-684-7910 | site designed & built by aha creative

SELLER INFORMATION

PURCHASER INFORMATION

VESSEL INFORMATION

Name:

Name:

Year:

Address:

Address:

Make:

City, State, Zip:

City, State, Zip:

Model:

Telephone:

Telephone:

Please complete and submit our seller/broker's disclosure statement below. If you would rather download, print and return the paper form to us, please click here to download an Acrobat PDF file of the Vessel Disclosure Statement.

1. Has the vessel ever been surveyed? If so, when and by whom?

2. Is a copy of the most recent survey available?

Yes No

3. Has the vessel ever been rejected for purchase for any reason?

Yes No

4. Are maintenance and warranty service records available?

Yes No

5. Was any aspect of the vessel ever the object of an insurance claim?

Yes No

6. Was any aspect of the vessel ever the object of a dispute with the manufacturer?

Yes No

7. Has the vessel ever been struck by lightning or damaged by fire/smoke?

Yes No

8. Has the vessel ever sunk, or even become partially immersed, such as the bilges or cabin having flooded?

Yes No

9. Has the vessel ever sustained damage or repairs, such as engines freezing/ overheating, hard grounding, striking a submerged object, collision, osmotic blistering, delaminations, stress cracks, core saturation/rot, mishandling ashore or transportation damage?

Yes No

10. Has the vessel ever been declared a constructive total loss (sold as salvage & repaired)?

Yes No

11. Has the vessel ever been exposed to salt water?

Yes No

12. Has the vessel ever been winter stored outside or in an unheated area?

Yes No

13. When were the vessel’s engine(s), pumps and transmission(s)/stern drive(s) serviced?

14. Are there any known defects or deficiencies to the vessel that have not otherwise been disclosed to the prospective purchaser (please explain)?

Before submitting this form, please type your initials in the box to represent your digital signature of the information above:

Bache Marine Consulting
PO Box 756
• Sandusky, OH 44871-0756
419-684-7910

Marine
Consulting
Established 1994
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