{"id":583,"date":"2016-08-09T16:43:22","date_gmt":"2016-08-09T16:43:22","guid":{"rendered":"https:\/\/vesseldocumentation.us\/?page_id=583"},"modified":"2021-11-11T13:01:54","modified_gmt":"2021-11-11T21:01:54","slug":"change-vessel-name-hailing-port","status":"publish","type":"page","link":"https:\/\/nvdcdocumentation.us\/nvdc\/change-vessel-name-hailing-port\/","title":{"rendered":"CHANGE OF VESSEL NAME OR HAILING PORT"},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper' id='gform_wrapper_40' style='display:none'><div id='gf_40' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">CHANGE OF VESSEL NAME OR HAILING PORT<\/h3>\n                            <span class='gform_description'>VESSEL NAME OR HAILING PORT CHANGE<\/span>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_40'  action='\/nvdc\/wp-json\/wp\/v2\/pages\/583#gf_40' >\n        <div id='gf_progressbar_wrapper_40' class='gf_progressbar_wrapper'>\n        \t<h3 class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>3<\/span>\n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_33' style='width:33%;'><span>33%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform_body gform-body'><div id='gform_page_40_1' class='gform_page' >\n                                    <div class='gform_page_fields'><ul id='gform_fields_40' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_40_67\"  class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_67\"><p style=\"font-size:1.4rem\">Once your application has been submitted, our specialists will review the accuracy of your document. We will\nthen contact you to ensure the integrity of the submitted data. This form\nis secure, protected by SSL encryption, so your personal\ninformation is safe.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"color: red;\"><strong>ANY ADDITIONAL CHANGES APART FROM VESSEL NAME CHANGE OR HAILING PORT CHANGE WILL REQUIRE ADDITIONAL FEES.<\/strong><\/p>\n<p>&nbsp;<\/p>\nNOTE: FILING THIS APPLICATION DOES NOT ENTITLE A VESSEL TO DOCUMENTATION OR TO ANY CHANGES DESIRED ON A CERTIFICATE OF DOCUMENTATION. OFFICIAL NUMBERS DESIGNATED ON THE BASIS OF THIS APPLICATION ARE NOT TRANSFERABLE. ONLY A CURRENT CERTIFICATE OF DOCUMENTATION IS VALID FOR VESSEL OPERATION.\n<p style=\"color:red;\">IF YOUR USCG (CERTIFICATE OF DOCUMENTATION) IS PAST 30 DAYS BEYOND ITS DATE OF EXPIRATION, YOU MUST REINSTATE YOUR DOCUMENTATION. PLEASE FOLLOW THIS LINK TO <a style=\"text-decoration: none;\" href=\"https:\/\/nvdcdocumentation.us\/nvdc\/reinstatement\/\">\"REINSTATE\"<\/a> YOUR (CERTIFICATE OF DOCUMENTATION)<\/p><\/li><li id=\"field_40_1\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_1\"><label class='gfield_label' for='input_40_1' >A-1. CURRENT VESSEL NAME AND OFFICIAL #<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_40_1' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_40_206\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_206\"><label class='gfield_label' for='input_40_206' >A-2. NEW VESSEL NAME<\/label><div class='ginput_container ginput_container_text'><input name='input_206' id='input_40_206' type='text' value='' class='medium'  aria-describedby=\"gfield_description_40_206\"    aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_40_206'>Insert name by which you wish the vessel to be known. Only standard Alpha and Numeric Characters in the vessel name will appear on the Certificate of Documentation. Click icon for attachment if application covers multiple vessels.<\/div><\/li><li id=\"field_40_3\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_3\"><label class='gfield_label'  >Please select from the following:<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_40_3'>\n\t\t\t<li class='gchoice gchoice_40_3_0'>\n\t\t\t\t<input name='input_3' type='radio' value='I already own this vessel'  id='choice_40_3_0'    \/>\n\t\t\t\t<label for='choice_40_3_0' id='label_40_3_0'>I already own this vessel<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_40_3_1'>\n\t\t\t\t<input name='input_3' type='radio' value='I purchased this vessel from another owner'  id='choice_40_3_1'    \/>\n\t\t\t\t<label for='choice_40_3_1' id='label_40_3_1'>I purchased this vessel from another owner<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_40_3_2'>\n\t\t\t\t<input name='input_3' type='radio' value='This vessel was newly built'  id='choice_40_3_2'    \/>\n\t\t\t\t<label for='choice_40_3_2' id='label_40_3_2'>This vessel was newly built<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_111\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_111\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_40_10\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_10\"><label class='gfield_label' for='input_40_10' >B-1. HAILING PORT INCLUDING STATE<\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_40_10' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_40_207\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_207\"><label class='gfield_label' for='input_40_207' >B-2. NEW HAILING PORT INCLUDING STATE (TO BE MARKED ON VESSEL)<\/label><div class='ginput_container ginput_container_text'><input name='input_207' id='input_40_207' type='text' value='' class='medium'  aria-describedby=\"gfield_description_40_207\"    aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_40_207'>Insert name of place and state exactly as it is or will be marked on the vessel. The hailing port must be a place in the United States. Commonly used abbreviations such as \u2018NY, NY\u2019 are acceptable.<\/div><\/li><li id=\"field_40_114\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_114\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_40_150\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_150\"><label class='gfield_label' for='input_40_150' >C. OFFICIAL # (IF AWARDED)<\/label><div class='ginput_container ginput_container_text'><input name='input_150' id='input_40_150' type='text' value='' class='medium'  aria-describedby=\"gfield_description_40_150\"    aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_40_150'>Please enter the Official Number (O\/N) awarded by the Coast Guard for all but Initial Issue cases.<\/div><\/li><li id=\"field_40_190\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_190\"><label class='gfield_label' for='input_40_190' >Please Confirm Official #<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_190' id='input_40_190' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_40_151\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_151\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_40_6\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_6\"><label class='gfield_label' for='input_40_6' >D. HULL ID # (IF ANY)<\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_40_6' type='text' value='' class='medium'  aria-describedby=\"gfield_description_40_6\"    aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_40_6'>Please enter Hull Identification Number (HIN) as assigned in accordance with 33 CFR 81.<\/div><\/li><li id=\"field_40_113\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_113\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_40_8\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_8\"><label class='gfield_label' for='input_40_8' >E. IMO # (IF ANY)<\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_40_8' type='text' value='' class='medium'  aria-describedby=\"gfield_description_40_8\"    aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_40_8'>Please enter International Maritime Organization Number (IMO), if any.<\/div><\/li><li id=\"field_40_115\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_115\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_40_200\"  class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_200\"><strong>F. NAME OF MANAGING OWNER, E-MAIL ADDRESS, TELEPHONE NUMBER:<\/strong><br \/><br \/>\nName, e-mail address, and telephone number of the owner to whom the Coast Guard should direct correspondence and their Social Security Number (SSN), or Tax Identification Number (TIN). Only an owner, or part owner, can be the managing owner. For vessels owned by a corporation, the\ncorporation is considered the managing owner. For a trust arrangement, the trustee will be the managing owner. For a Partnership or a LLC, the name of the Partnership or the LLC should be shown.<\/li><li id=\"field_40_201\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_201\"><label class='gfield_label' for='input_40_201' >NAME OF MANAGING OWNER<\/label><div class='ginput_container ginput_container_text'><input name='input_201' id='input_40_201' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_40_202\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_202\"><label class='gfield_label' for='input_40_202' >E-MAIL ADDRESS OF MANAGING OWNER<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_202' id='input_40_202' type='text' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_40_203\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_203\"><label class='gfield_label' for='input_40_203' >TELEPHONE NUMBER OF MANAGING OWNER<\/label><div class='ginput_container ginput_container_phone'><input name='input_203' id='input_40_203' type='text' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_40_130\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_130\"><label class='gfield_label' for='input_40_130' >SOCIAL SECURITY OR TAX ID NUMBER (46 USC 12104): (SECURE FORM)<\/label><div class='ginput_container ginput_container_text'><input name='input_130' id='input_40_130' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_40_15\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_15\"><label class='gfield_label'  >IS THIS NUMBER YOUR SOCIAL SECURITY NUMBER OR TAX ID NUMBER?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_40_15'>\n\t\t\t<li class='gchoice gchoice_40_15_0'>\n\t\t\t\t<input name='input_15' type='radio' value='SOCIAL SECURITY NUMBER'  id='choice_40_15_0'    \/>\n\t\t\t\t<label for='choice_40_15_0' id='label_40_15_0'>SOCIAL SECURITY NUMBER<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_40_15_1'>\n\t\t\t\t<input name='input_15' type='radio' value='TAX ID NUMBER'  id='choice_40_15_1'    \/>\n\t\t\t\t<label for='choice_40_15_1' id='label_40_15_1'>TAX ID NUMBER<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_117\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_117\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_40_204\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_204\"><label class='gfield_label gfield_label_before_complex'  >G. ENTER PHYSICAL ADDRESS OF MANAGING OWNER (REQUIRED \u2013 46 CFR 67.113)<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address' id='input_40_204' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1' id='input_40_204_1_container' >\n                                        <input type='text' name='input_204.1' id='input_40_204_1' value=''    aria-required='false'    aria-describedby=\"gfield_description_40_204\"\/>\n                                        <label for='input_40_204_1' id='input_40_204_1_label' >Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2' id='input_40_204_2_container' >\n                                        <input type='text' name='input_204.2' id='input_40_204_2' value=''     aria-required='false'   \/>\n                                        <label for='input_40_204_2' id='input_40_204_2_label' >Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city' id='input_40_204_3_container' >\n                                    <input type='text' name='input_204.3' id='input_40_204_3' value=''    aria-required='false'    \/>\n                                    <label for='input_40_204_3' id='input_40_204_3_label' >City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state' id='input_40_204_4_container' >\n                                        <input type='text' name='input_204.4' id='input_40_204_4' value=''      aria-required='false'    \/>\n                                        <label for='input_40_204_4' id='input_40_204_4_label' >State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip' id='input_40_204_5_container' >\n                                    <input type='text' name='input_204.5' id='input_40_204_5' value=''    aria-required='false'    \/>\n                                    <label for='input_40_204_5' id='input_40_204_5_label' >ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country' id='input_40_204_6_container' >\n                                        <select name='input_204.6' id='input_40_204_6'   aria-required='false'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' selected='selected'>United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_40_204_6' id='input_40_204_6_label' >Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><div class='gfield_description' id='gfield_description_40_204'><span style=\"display:none !important\">Enter the mailing address. If physical (street) address differs from mailing address, enter BOTH.<\/span><\/div><\/li><li id=\"field_40_205\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_205\"><label class='gfield_label gfield_label_before_complex'  >ENTER MAILING ADDRESS OF MANAGING OWNER (IF DIFFERENT THAN PHYSICAL ADDRESS \u2013 E.G. , P.O. BOX)<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address' id='input_40_205' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1' id='input_40_205_1_container' >\n                                        <input type='text' name='input_205.1' id='input_40_205_1' value=''    aria-required='false'    \/>\n                                        <label for='input_40_205_1' id='input_40_205_1_label' >Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2' id='input_40_205_2_container' >\n                                        <input type='text' name='input_205.2' id='input_40_205_2' value=''     aria-required='false'   \/>\n                                        <label for='input_40_205_2' id='input_40_205_2_label' >Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city' id='input_40_205_3_container' >\n                                    <input type='text' name='input_205.3' id='input_40_205_3' value=''    aria-required='false'    \/>\n                                    <label for='input_40_205_3' id='input_40_205_3_label' >City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state' id='input_40_205_4_container' >\n                                        <input type='text' name='input_205.4' id='input_40_205_4' value=''      aria-required='false'    \/>\n                                        <label for='input_40_205_4' id='input_40_205_4_label' >State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip' id='input_40_205_5_container' >\n                                    <input type='text' name='input_205.5' id='input_40_205_5' value=''    aria-required='false'    \/>\n                                    <label for='input_40_205_5' id='input_40_205_5_label' >ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country' id='input_40_205_6_container' >\n                                        <select name='input_205.6' id='input_40_205_6'   aria-required='false'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' selected='selected'>United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_40_205_6' id='input_40_205_6_label' >Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_40_119\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_119\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_40_208\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_208\"><label class='gfield_label' for='input_40_208' >H. Are There Other Persons and\/or Entities That Own an Interest in the Vessel?<\/label><div class='ginput_container ginput_container_select'><select name='input_208' id='input_40_208' class='medium gfield_select'  aria-describedby=\"gfield_description_40_208\"   aria-invalid=\"false\" ><option value='No' >No<\/option><option value='Yes' >Yes<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_40_208'><strong>Include all persons\/entities (other than managing owner) who own an interest in the vessel below.<\/strong><\/div><\/li><li id=\"field_40_20\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_20\"><label class='gfield_label' for='input_40_20' >H. NAME(S) OF OTHER OWNER(S)<\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_40_20' type='text' value='' class='large'  aria-describedby=\"gfield_description_40_20\"    aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_40_20'>Please enter all persons\/entities (other than managing owner) who own an interest in the vessel. If no owners other than the managing owner apply, please leave this field blank. Please click the icon for additional attachments if application covers multiple owners.<\/div><\/li><li id=\"field_40_216\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_216\"><label class='gfield_label' for='input_40_216' >Is there an active lien or mortgage on this vessel?<\/label><div class='ginput_container ginput_container_select'><select name='input_216' id='input_40_216' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='Yes' >Yes<\/option><\/select><\/div><\/li><li id=\"field_40_217\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_217\"><label class='gfield_label' for='input_40_217' >Is it satisfied?<\/label><div class='ginput_container ginput_container_select'><select name='input_217' id='input_40_217' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='Yes' >Yes<\/option><option value='I don&#039;t know' >I don&#039;t know<\/option><\/select><\/div><\/li><li id=\"field_40_219\"  class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_219\"><strong style=\"color:red\">An Abstract of Title will be added to establish if the lien or mortgage has been satisfied.<\/strong><\/li><li id=\"field_40_22\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_22\"><label class='gfield_label' for='input_40_22' >Social Security Number (Individual)<\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_40_22' type='text' value='' class='medium'  aria-describedby=\"gfield_description_40_22\"    aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_40_22'>If you are using a Social Security Number, please leave Tax ID Number blank.<\/div><\/li><li id=\"field_40_213\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_213\"><label class='gfield_label' for='input_40_213' >Tax ID Number (Business Entity)<\/label><div class='ginput_container ginput_container_text'><input name='input_213' id='input_40_213' type='text' value='' class='medium'  aria-describedby=\"gfield_description_40_213\"    aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_40_213'>If you are using a Tax ID Number, please leave Social Security Number blank. <\/div><\/li><li id=\"field_40_120\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_120\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_40_26\"  class=\"gfield field_sublabel_below field_description_above gfield_visibility_visible\"  data-js-reload=\"field_40_26\"><label class='gfield_label gfield_label_before_complex'  >I. PURPOSE OF APPLICATION.<\/label><div class='gfield_description' id='gfield_description_40_26'>Please check all applicable blocks to illustrate purpose of this application. If this vessel has never been documented, please check Block #5 and provide ALL requested information known about the vessel's place and year of build, hull material, approximate length and previous names and numbers. If this information is unknown, please indicate below.<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_40_26'><li class='gchoice gchoice_40_26_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.1' type='checkbox'  value='1. TRANSFER\/EXCHANGE OF CERTIFICATE OF DOCUMENTATION'  id='choice_40_26_1'   aria-describedby=\"gfield_description_40_26\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_40_26_1' id='label_40_26_1'>1. TRANSFER\/EXCHANGE OF CERTIFICATE OF DOCUMENTATION<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_26_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.2' type='checkbox'  value='2. REPLACEMENT OF LOST, WRONGFULLY WITHHELD OR MUTILATED CERTIFICATE OF DOCUMENTATION'  id='choice_40_26_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_26_2' id='label_40_26_2'>2. REPLACEMENT OF LOST, WRONGFULLY WITHHELD OR MUTILATED CERTIFICATE OF DOCUMENTATION<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_26_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.3' type='checkbox'  value='3. RE-INSTATEMENT OF CERTIFICATE OF DOCUMENTATION FOLLOWING FAILURE TO RENEW'  id='choice_40_26_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_26_3' id='label_40_26_3'>3. RE-INSTATEMENT OF CERTIFICATE OF DOCUMENTATION FOLLOWING FAILURE TO RENEW<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_26_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.4' type='checkbox'  value='4. RETURN TO DOCUMENTATION FOLLOWING DELETION.'  id='choice_40_26_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_26_4' id='label_40_26_4'>4. RETURN TO DOCUMENTATION FOLLOWING DELETION.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_26_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.5' type='checkbox'  value='5. APPLICATION FOR OFFICIAL NUMBER AND FIRST CERTIFICATE OF DOCUMENTATION.'  id='choice_40_26_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_26_5' id='label_40_26_5'>5. APPLICATION FOR OFFICIAL NUMBER AND FIRST CERTIFICATE OF DOCUMENTATION.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_26_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.6' type='checkbox'  value='6. CHANGE OF VESSEL NAME OR HAILING PORT'  id='choice_40_26_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_26_6' id='label_40_26_6'>6. CHANGE OF VESSEL NAME OR HAILING PORT<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_68\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_68\"><label class='gfield_label' for='input_40_68' >VESSEL NAME WHEN LAST DOCUMENTED:<\/label><div class='ginput_container ginput_container_text'><input name='input_68' id='input_40_68' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_40_27\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_27\"><label class='gfield_label gfield_label_before_complex'  >HULL MATERIAL:<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_40_27'><li class='gchoice gchoice_40_27_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.1' type='checkbox'  value='WOOD'  id='choice_40_27_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_27_1' id='label_40_27_1'>WOOD<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_27_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.2' type='checkbox'  value='STEEL'  id='choice_40_27_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_27_2' id='label_40_27_2'>STEEL<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_27_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.3' type='checkbox'  value='FIBROUS REINFORCED PLASTIC'  id='choice_40_27_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_27_3' id='label_40_27_3'>FIBROUS REINFORCED PLASTIC<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_27_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.4' type='checkbox'  value='ALUMINUM'  id='choice_40_27_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_27_4' id='label_40_27_4'>ALUMINUM<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_27_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.5' type='checkbox'  value='CONCRETE'  id='choice_40_27_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_27_5' id='label_40_27_5'>CONCRETE<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_27_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.6' type='checkbox'  value='OTHER'  id='choice_40_27_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_27_6' id='label_40_27_6'>OTHER<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_230\"  class=\"gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_230\"><label class='gfield_label'  >ENGINE LOCATION<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_40_230'>\n\t\t\t<li class='gchoice gchoice_40_230_0'>\n\t\t\t\t<input name='input_230' type='radio' value='INBOARD'  id='choice_40_230_0'    \/>\n\t\t\t\t<label for='choice_40_230_0' id='label_40_230_0'>INBOARD<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_40_230_1'>\n\t\t\t\t<input name='input_230' type='radio' value='OUTBOARD'  id='choice_40_230_1'    \/>\n\t\t\t\t<label for='choice_40_230_1' id='label_40_230_1'>OUTBOARD<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_155\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_155\"><label class='gfield_label' for='input_40_155' >Describe<\/label><div class='ginput_container ginput_container_text'><input name='input_155' id='input_40_155' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_40_215\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_215\"><label class='gfield_label'  >ARE THERE ANY ACTIVE LIENS OR MORTGAGES ON THIS VESSEL?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_40_215'>\n\t\t\t<li class='gchoice gchoice_40_215_0'>\n\t\t\t\t<input name='input_215' type='radio' value='No, there are no active liens or mortgages on this vessel'  id='choice_40_215_0'    \/>\n\t\t\t\t<label for='choice_40_215_0' id='label_40_215_0'>No, there are no active liens or mortgages on this vessel<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_40_215_1'>\n\t\t\t\t<input name='input_215' type='radio' value='Yes, there is an active lien or mortgage on this vessel'  id='choice_40_215_1'    \/>\n\t\t\t\t<label for='choice_40_215_1' id='label_40_215_1'>Yes, there is an active lien or mortgage on this vessel<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_116\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_116\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_40_28\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_28\"><label class='gfield_label gfield_label_before_complex'  >J. ENDORSEMENTS FOR WHICH APPLICATION IS MADE<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_40_28'><li class='gchoice gchoice_40_28_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.1' type='checkbox'  value='RECREATIONAL'  id='choice_40_28_1'   aria-describedby=\"gfield_description_40_28\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_40_28_1' id='label_40_28_1'>RECREATIONAL<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_28_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.2' type='checkbox'  value='FISHERY'  id='choice_40_28_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_28_2' id='label_40_28_2'>FISHERY<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_28_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.3' type='checkbox'  value='COASTWISE'  id='choice_40_28_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_28_3' id='label_40_28_3'>COASTWISE<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_28_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.4' type='checkbox'  value='REGISTRY'  id='choice_40_28_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_28_4' id='label_40_28_4'>REGISTRY<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_28_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.5' type='checkbox'  value='COASTWISE \u2013 BOWATERS ONLY (CERTIFICATE ON FILE)'  id='choice_40_28_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_28_5' id='label_40_28_5'>COASTWISE \u2013 BOWATERS ONLY (CERTIFICATE ON FILE)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_28_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.6' type='checkbox'  value='COASTWISE \u2013 OIL SPILL RESPONSE ONLY (LETTER OF QUALIFICATION ON FILE)'  id='choice_40_28_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_28_6' id='label_40_28_6'>COASTWISE \u2013 OIL SPILL RESPONSE ONLY (LETTER OF QUALIFICATION ON FILE)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_28_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.7' type='checkbox'  value='COASTWISE UNDER CHARTER TO AN ENTITY QUALIFIED TO ENGAGE IN COASTWISE TRADE (COPY OF CHARTER ON FILE)'  id='choice_40_28_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_28_7' id='label_40_28_7'>COASTWISE UNDER CHARTER TO AN ENTITY QUALIFIED TO ENGAGE IN COASTWISE TRADE (COPY OF CHARTER ON FILE)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_40_28'>Please check the appropriate block(s) to indicate all endorsement(s) sought on this application.<\/div><\/li><li id=\"field_40_118\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_118\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_40_171\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_171\"><label class='gfield_label'  >K. PRIMARY SERVICE &amp; HORSEPOWER:<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_40_171'>\n\t\t\t<li class='gchoice gchoice_40_171_0'>\n\t\t\t\t<input name='input_171' type='radio' value='COMMERCIAL FISHING BOAT'  id='choice_40_171_0'    \/>\n\t\t\t\t<label for='choice_40_171_0' id='label_40_171_0'>COMMERCIAL FISHING BOAT<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_40_171_1'>\n\t\t\t\t<input name='input_171' type='radio' value='FISH PROCESSING VESSEL'  id='choice_40_171_1'    \/>\n\t\t\t\t<label for='choice_40_171_1' id='label_40_171_1'>FISH PROCESSING VESSEL<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_40_171_2'>\n\t\t\t\t<input name='input_171' type='radio' value='FREIGHT SHIP'  id='choice_40_171_2'    \/>\n\t\t\t\t<label for='choice_40_171_2' id='label_40_171_2'>FREIGHT SHIP<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_40_171_3'>\n\t\t\t\t<input name='input_171' type='radio' value='FREIGHT BARGE'  id='choice_40_171_3'    \/>\n\t\t\t\t<label for='choice_40_171_3' id='label_40_171_3'>FREIGHT BARGE<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_40_171_4'>\n\t\t\t\t<input name='input_171' type='radio' value='INDUSTRIAL VESSEL'  id='choice_40_171_4'    \/>\n\t\t\t\t<label for='choice_40_171_4' id='label_40_171_4'>INDUSTRIAL VESSEL<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_40_171_5'>\n\t\t\t\t<input name='input_171' type='radio' value='MOBILE OFFSHORE DRILLING UNIT'  id='choice_40_171_5'    \/>\n\t\t\t\t<label for='choice_40_171_5' id='label_40_171_5'>MOBILE OFFSHORE DRILLING UNIT<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_40_171_6'>\n\t\t\t\t<input name='input_171' type='radio' value='OIL RECOVERY'  id='choice_40_171_6'    \/>\n\t\t\t\t<label for='choice_40_171_6' id='label_40_171_6'>OIL RECOVERY<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_40_171_7'>\n\t\t\t\t<input name='input_171' type='radio' value='OFFSHORE SUPPLY VESSEL'  id='choice_40_171_7'    \/>\n\t\t\t\t<label for='choice_40_171_7' id='label_40_171_7'>OFFSHORE SUPPLY VESSEL<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_40_171_8'>\n\t\t\t\t<input name='input_171' type='radio' value='PASSENGER (6 OR FEWER)'  id='choice_40_171_8'    \/>\n\t\t\t\t<label for='choice_40_171_8' id='label_40_171_8'>PASSENGER (6 OR FEWER)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_40_171_9'>\n\t\t\t\t<input name='input_171' type='radio' value='PASSENGER (MORE THAN 6)'  id='choice_40_171_9'    \/>\n\t\t\t\t<label for='choice_40_171_9' id='label_40_171_9'>PASSENGER (MORE THAN 6)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_40_171_10'>\n\t\t\t\t<input name='input_171' type='radio' value='PASSENGER BARGE (6 OR FEWER)'  id='choice_40_171_10'    \/>\n\t\t\t\t<label for='choice_40_171_10' id='label_40_171_10'>PASSENGER BARGE (6 OR FEWER)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_40_171_11'>\n\t\t\t\t<input name='input_171' type='radio' value='PASSENGER BARGE (MORE THAN 6)'  id='choice_40_171_11'    \/>\n\t\t\t\t<label for='choice_40_171_11' id='label_40_171_11'>PASSENGER BARGE (MORE THAN 6)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_40_171_12'>\n\t\t\t\t<input name='input_171' type='radio' value='PUBLIC FREIGHT'  id='choice_40_171_12'    \/>\n\t\t\t\t<label for='choice_40_171_12' id='label_40_171_12'>PUBLIC FREIGHT<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_40_171_13'>\n\t\t\t\t<input name='input_171' type='radio' value='PUBLIC TANKSHIP\/BARGE'  id='choice_40_171_13'    \/>\n\t\t\t\t<label for='choice_40_171_13' id='label_40_171_13'>PUBLIC TANKSHIP\/BARGE<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_40_171_14'>\n\t\t\t\t<input name='input_171' type='radio' value='PUBLIC VESSEL, UNC'  id='choice_40_171_14'    \/>\n\t\t\t\t<label for='choice_40_171_14' id='label_40_171_14'>PUBLIC VESSEL, UNC<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_40_171_15'>\n\t\t\t\t<input name='input_171' type='radio' value='RECREATIONAL'  id='choice_40_171_15'    \/>\n\t\t\t\t<label for='choice_40_171_15' id='label_40_171_15'>RECREATIONAL<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_40_171_16'>\n\t\t\t\t<input name='input_171' type='radio' value='RESEARCH VESSEL'  id='choice_40_171_16'    \/>\n\t\t\t\t<label for='choice_40_171_16' id='label_40_171_16'>RESEARCH VESSEL<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_40_171_17'>\n\t\t\t\t<input name='input_171' type='radio' value='SCHOOL SHIP'  id='choice_40_171_17'    \/>\n\t\t\t\t<label for='choice_40_171_17' id='label_40_171_17'>SCHOOL SHIP<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_40_171_18'>\n\t\t\t\t<input name='input_171' type='radio' value='TANK BARGE'  id='choice_40_171_18'    \/>\n\t\t\t\t<label for='choice_40_171_18' id='label_40_171_18'>TANK BARGE<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_40_171_19'>\n\t\t\t\t<input name='input_171' type='radio' value='TANK SHIP'  id='choice_40_171_19'    \/>\n\t\t\t\t<label for='choice_40_171_19' id='label_40_171_19'>TANK SHIP<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_40_171_20'>\n\t\t\t\t<input name='input_171' type='radio' value='TOWING VESSEL'  id='choice_40_171_20'    \/>\n\t\t\t\t<label for='choice_40_171_20' id='label_40_171_20'>TOWING VESSEL<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_40_171'>Please select only ONE service for which the vessel will be primarily used and insert horsepower as well.<\/div><\/li><li id=\"field_40_30\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_30\"><label class='gfield_label' for='input_40_30' >HORSEPOWER<\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_40_30' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_40_31' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_40\").val(\"2\");  jQuery(\"#gform_40\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_40\").val(\"2\");  jQuery(\"#gform_40\").trigger(\"submit\",[true]); } ' \/> <a type='button' href=\"javascript:void(0);\" id='gform_save_40_2_link' class='gform_save_link'  onclick='if(window[\"gf_submitting_40\"]){return false;}  window[\"gf_submitting_40\"]=true; jQuery(\"#gform_save_40\").val(1); jQuery(\"#gform_40\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_40\"]){return false;} window[\"gf_submitting_40\"]=true; jQuery(\"#gform_save_40\").val(1); jQuery(\"#gform_40\").trigger(\"submit\",[true]); }'> Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_40_2' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_40_2' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_40_122\"  class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_122\"><strong>L. CITIZENSHIP OF OWNER (CHECK THE BOX(ES) TO SHOW THE TYPE(S) OF ENTITY(IES) THAT OWNS THE VESSEL)<\/strong><\/br>Vessel must be owned by a U.S. citizen eligible for the\nendorsement(s) desired. Please choose the section that best describes the type of entity that owns the vessel. Citizenship for all owners must be provided.<\/li><li id=\"field_40_40\"  class=\"gfield field_sublabel_below field_description_above gfield_visibility_visible\"  data-js-reload=\"field_40_40\"><label class='gfield_label screen-reader-text gfield_label_before_complex'  >INDIVIDUAL: This isncludes native born, as well as naturalized U.S. citizens.\n\nGOVERNMENT ENTITY: This includes Federal, State, Territory, Possession or Subdivision.\n\nCORPORATION: Please complete all items that may apply.\n\nLIMITED LIABILITY COMPANY (LLC):  Please complete Equity Section and choose type. For a member managed LLC, a list of members is required. Please click the icon for additional attachments if application covers multiple members.\n\nPARTNERSHIP: Please complete Equity Section and choose type. A list of all general partners is required. Click the icon for additional attachments if application covers multiple general partners.\n\nCORPORATIONS QUALIFIED UNDER 46 CFR 68.01 OR OWNED BY A NOT-FOR-PROFIT OIL RECOVERY COOPERATIVE: Please attach a copy of the Certificate of Compliance or Letter of Qualification issued by the Director, NVDC. \n\nJOINT VENTURE\/ASSOCIATION: A list of all joint venturers\/members is required. The percentage held by each does not need to be provided. Please click on icon for additional attachments if application covers multiple joint venturers\/members. \n\nTRUST ARRANGEMENT: All trustees must be U.S. citizens. If applicable, each beneficiary with an enforceable interest must be a citizen. A list of all trustees (save for the managing owner) and beneficiaries with an enforceable interest is required. Please click on icon for additional attachments if application covers multiple trustees\/beneficiaries with an enforceable interest.<\/label><div class='gfield_description' id='gfield_description_40_40'><p><strong>INDIVIDUAL: <\/strong>This isncludes native born, as well as naturalized U.S. citizens.<\/p>\n\n<p><strong>GOVERNMENT ENTITY: <\/strong>This includes Federal, State, Territory, Possession or Subdivision.<\/p>\n\n<p><strong>CORPORATION: <\/strong>Please complete all items that may apply.<\/p>\n\n<p><strong>LIMITED LIABILITY COMPANY (LLC):  <\/strong>Please complete Equity Section and choose type. For a member managed LLC, a list of members is required. Please click the icon for additional attachments if application covers multiple members.<\/p>\n\n<p><strong>PARTNERSHIP: <\/strong>Please complete Equity Section and choose type. A list of all general partners is required. Click the icon for additional attachments if application covers multiple general partners.<\/p>\n\n<p><strong>CORPORATIONS QUALIFIED UNDER 46 CFR 68.01 OR OWNED BY A NOT-FOR-PROFIT OIL RECOVERY COOPERATIVE: <\/strong>Please attach a copy of the Certificate of Compliance or Letter of Qualification issued by the Director, NVDC. <\/p>\n\n<p><strong>JOINT VENTURE\/ASSOCIATION: <\/strong>A list of all joint venturers\/members is required. The percentage held by each does not need to be provided. Please click on icon for additional attachments if application covers multiple joint venturers\/members. <\/p>\n\n<p><strong>TRUST ARRANGEMENT: <\/strong>All trustees must be U.S. citizens. If applicable, each beneficiary with an enforceable interest must be a citizen. A list of all trustees (save for the managing owner) and beneficiaries with an enforceable interest is required. Please click on icon for additional attachments if application covers multiple trustees\/beneficiaries with an enforceable interest.<\/p><\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_40_40'><li class='gchoice gchoice_40_40_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.1' type='checkbox'  value='ONE OR MORE INDIVIDUALS, I (WE) CERTIFY THAT ALL OWNERS OF THIS VESSEL ARE CITIZENS OF THE UNITED STATES'  id='choice_40_40_1'   aria-describedby=\"gfield_description_40_40\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_40_40_1' id='label_40_40_1'>ONE OR MORE INDIVIDUALS, I (WE) CERTIFY THAT ALL OWNERS OF THIS VESSEL ARE CITIZENS OF THE UNITED STATES<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_40_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.2' type='checkbox'  value='GOVERNMENT ENTITY (FEDERAL, STATE, TERRITORY, POSSESSION OR SUBDIVISION)'  id='choice_40_40_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_40_2' id='label_40_40_2'>GOVERNMENT ENTITY (FEDERAL, STATE, TERRITORY, POSSESSION OR SUBDIVISION)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_40_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.3' type='checkbox'  value='CORPORATION (SEE SECTION M, ITEM 5 WHEN APPLYING FOR A FISHERY OR COASTWISE ENDORSEMENT).'  id='choice_40_40_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_40_3' id='label_40_40_3'>CORPORATION (SEE SECTION M, ITEM 5 WHEN APPLYING FOR A FISHERY OR COASTWISE ENDORSEMENT).<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_40_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.4' type='checkbox'  value='LIMITED LIABILITY COMPANY (LLC) (COMPLETE EQUITY SECTION AND CHOOSE TYPE)'  id='choice_40_40_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_40_4' id='label_40_40_4'>LIMITED LIABILITY COMPANY (LLC) (COMPLETE EQUITY SECTION AND CHOOSE TYPE)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_40_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.5' type='checkbox'  value='PARTNERSHIP (COMPLETE EQUITY SECTION AND CHOOSE TYPE)'  id='choice_40_40_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_40_5' id='label_40_40_5'>PARTNERSHIP (COMPLETE EQUITY SECTION AND CHOOSE TYPE)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_40_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.6' type='checkbox'  value='CORPORATION QUALIFIED AND APPLYING UNDER 46 CFR 68.01 (BOWATERS)'  id='choice_40_40_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_40_6' id='label_40_40_6'>CORPORATION QUALIFIED AND APPLYING UNDER 46 CFR 68.01 (BOWATERS)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_40_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.7' type='checkbox'  value='VESSEL OWNED OR OPERATED BY NOT-FOR-PROFIT OIL RECOVERY COOPERATIVE'  id='choice_40_40_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_40_7' id='label_40_40_7'>VESSEL OWNED OR OPERATED BY NOT-FOR-PROFIT OIL RECOVERY COOPERATIVE<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_40_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.8' type='checkbox'  value='JOINT VENTURE OR ASSOCIATION'  id='choice_40_40_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_40_8' id='label_40_40_8'>JOINT VENTURE OR ASSOCIATION<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_40_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.9' type='checkbox'  value='TRUST ARRANGEMENT (COMPLETE EQUITY\/STOCK SECTION)'  id='choice_40_40_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_40_9' id='label_40_40_9'>TRUST ARRANGEMENT (COMPLETE EQUITY\/STOCK SECTION)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_69\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_69\"><label class='gfield_label' for='input_40_69' >1. STATE OF INCORPORATION<\/label><div class='ginput_container ginput_container_text'><input name='input_69' id='input_40_69' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_40_70\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_70\"><label class='gfield_label' for='input_40_70' >2 CITIZENSHIP OF CHIEF EXECUTIVE OFFICER BY WHATEVER TITLE<\/label><div class='ginput_container ginput_container_text'><input name='input_70' id='input_40_70' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_40_71\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_71\"><label class='gfield_label' for='input_40_71' >3. CITIZENSHIP OF CHAIRMAN OF THE BOARD<\/label><div class='ginput_container ginput_container_text'><input name='input_71' id='input_40_71' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_40_72\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_72\"><label class='gfield_label' for='input_40_72' >4. NUMBER OF DIRECTORS NECESSARY TO CONSTITUTE A QUORUM<\/label><div class='ginput_container ginput_container_text'><input name='input_72' id='input_40_72' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_40_73\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_73\"><label class='gfield_label' for='input_40_73' >5. NUMBER OF ALIEN DIRECTORS<\/label><div class='ginput_container ginput_container_text'><input name='input_73' id='input_40_73' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_40_131\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_131\"><label class='gfield_label gfield_label_before_complex'  >6. PLEASE SELECT PERCENTAGE OF STOCK OWNED BY U.S. CITIZENS ELIGIBLE TO DOCUMENT VESSELS IN THEIR OWN RIGHT, WITH THE ENDORSEMENT(S) SOUGHT ON THIS APPLICATION IN ACCORDANCE WITH 46 CFR PART 67 (SUBPART C)<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_40_131'><li class='gchoice gchoice_40_131_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_131.1' type='checkbox'  value='LESS THAN 50%'  id='choice_40_131_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_131_1' id='label_40_131_1'>LESS THAN 50%<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_131_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_131.2' type='checkbox'  value='50% OR MORE: (I)'  id='choice_40_131_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_131_2' id='label_40_131_2'>50% OR MORE: (I)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_131_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_131.3' type='checkbox'  value='75% OR MORE (AND, AT EACH TIER, IF APPLICABLE)'  id='choice_40_131_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_131_3' id='label_40_131_3'>75% OR MORE (AND, AT EACH TIER, IF APPLICABLE)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_131_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_131.4' type='checkbox'  value='75% OR MORE (AND, AT EACH TIER AND IN THE AGGREGATE (IF FISHERY), IF APPLICABLE)'  id='choice_40_131_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_131_4' id='label_40_131_4'>75% OR MORE (AND, AT EACH TIER AND IN THE AGGREGATE (IF FISHERY), IF APPLICABLE)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_132\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_132\"><label class='gfield_label' for='input_40_132' >PLEASE STATE EXACT PERCENTAGE<\/label><div class='ginput_container ginput_container_text'><input name='input_132' id='input_40_132' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_40_133\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_133\"><label class='gfield_label gfield_label_before_complex'  >CORPORATION QUALIFIED AND APPLYING UNDER 46 CFR 68.01 (BOWATERS)<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_40_133'><li class='gchoice gchoice_40_133_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_133.1' type='checkbox'  value='I (WE) CERTIFY THAT THE CORPORATE STRUCTURE HAS NOT CHANGED SINCE ISSUANCE OF THE CERTIFICATE OF COMPLIANCE.'  id='choice_40_133_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_133_1' id='label_40_133_1'>I (WE) CERTIFY THAT THE CORPORATE STRUCTURE HAS NOT CHANGED SINCE ISSUANCE OF THE CERTIFICATE OF COMPLIANCE.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_174\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_174\"><label class='gfield_label gfield_label_before_complex'  >VESSEL OWNED OR OPERATED BY NOT-FOR-PROFIT OIL RECOVERY COOPERATIVE<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_40_174'><li class='gchoice gchoice_40_174_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_174.1' type='checkbox'  value='I (WE) CERTIFY THAT THE INFORMATION ON FILE WITH REGARD TO COOPERATIVE AND ISSUANCE OF THE LETTER OF QUALIFICATION REMAINS UNCHANGED.'  id='choice_40_174_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_174_1' id='label_40_174_1'>I (WE) CERTIFY THAT THE INFORMATION ON FILE WITH REGARD TO COOPERATIVE AND ISSUANCE OF THE LETTER OF QUALIFICATION REMAINS UNCHANGED.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_175\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_175\"><label class='gfield_label gfield_label_before_complex'  >JOINT VENTURE OR ASSOCIATION<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_40_175'><li class='gchoice gchoice_40_175_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_175.1' type='checkbox'  value='I (WE) CERTIFY THAT ALL MEMBERS OF THIS (JOINT VENTURE) (ASSOCIATION) ARE CITIZENS OF THE UNITED STATES, ELIGIBLE TO DOCUMENT VESSELS IN THEIR OWN RIGHT WITH THE ENDORSEMENT(S) SOUGHT.'  id='choice_40_175_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_175_1' id='label_40_175_1'>I (WE) CERTIFY THAT ALL MEMBERS OF THIS (JOINT VENTURE) (ASSOCIATION) ARE CITIZENS OF THE UNITED STATES, ELIGIBLE TO DOCUMENT VESSELS IN THEIR OWN RIGHT WITH THE ENDORSEMENT(S) SOUGHT.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_134\"  class=\"gfield field_sublabel_below field_description_above gfield_visibility_visible\"  data-js-reload=\"field_40_134\"><label class='gfield_label gfield_label_before_complex'  >LIMITED LIABILITY COMPANY (LLC): (COMPLETE EQUITY SECTION AND CHOOSE TYPE) (SEE SECTION M, ITEM 5 WHEN APPLYING FOR A FISHERY OR COASTWISE ENDORSEMENT).<\/label><div class='gfield_description' id='gfield_description_40_134'><b>PLEASE SELECT EQUITY INTEREST OWNED BY PERSONS ELIGIBLE TO DOCUMENT VESSELS IN THEIR OWN RIGHT WITH THE ENDORSEMENT SOUGHT IN ACCORDANCE WITH 46 CFR PART 67 (SUBPART C).<\/b><\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_40_134'><li class='gchoice gchoice_40_134_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_134.1' type='checkbox'  value='LESS THAN 50%'  id='choice_40_134_1'   aria-describedby=\"gfield_description_40_134\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_40_134_1' id='label_40_134_1'>LESS THAN 50%<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_134_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_134.2' type='checkbox'  value='75% OR MORE (AND, AT EACH TIER, IF APPLICABLE)'  id='choice_40_134_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_134_2' id='label_40_134_2'>75% OR MORE (AND, AT EACH TIER, IF APPLICABLE)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_134_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_134.3' type='checkbox'  value='75% OR MORE (AND, AT EACH TIER AND IN THE AGGREGATE (IF FISHERY), IF APPLICABLE)'  id='choice_40_134_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_134_3' id='label_40_134_3'>75% OR MORE (AND, AT EACH TIER AND IN THE AGGREGATE (IF FISHERY), IF APPLICABLE)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_134_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_134.4' type='checkbox'  value='50% OR MORE: (I)'  id='choice_40_134_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_134_4' id='label_40_134_4'>50% OR MORE: (I)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_176\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_176\"><label class='gfield_label' for='input_40_176' >List of All Joint Ventures\/Members (First &amp; Last Name(s)):<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_176' id='input_40_176' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_40_135\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_135\"><label class='gfield_label' for='input_40_135' >PLEASE STATE EXACT PERCENTAGE<\/label><div class='ginput_container ginput_container_text'><input name='input_135' id='input_40_135' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_40_136\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_136\"><label class='gfield_label screen-reader-text gfield_label_before_complex'  ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_40_136'><li class='gchoice gchoice_40_136_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_136.1' type='checkbox'  value='&lt;b&gt;1. MEMBER MANAGED LIMITED LIABILITY COMPANY I (WE) CERTIFY THAT ALL MEMBERS OF THIS LLC ARE CITIZENS OF THE UNITED STATES ELIGIBLE TO DOCUMENT VESSELS WITH THE ENDORSEMENT(S) SOUGHT IN THEIR OWN RIGHT.&lt;\/b&gt;'  id='choice_40_136_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_136_1' id='label_40_136_1'><b>1. MEMBER MANAGED LIMITED LIABILITY COMPANY I (WE) CERTIFY THAT ALL MEMBERS OF THIS LLC ARE CITIZENS OF THE UNITED STATES ELIGIBLE TO DOCUMENT VESSELS WITH THE ENDORSEMENT(S) SOUGHT IN THEIR OWN RIGHT.<\/b><\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_177\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_177\"><label class='gfield_label' for='input_40_177' >LIST OF ALL MEMBERS (FIRST &amp; LAST NAME(S)):<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_177' id='input_40_177' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_40_137\"  class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_137\">OR<\/li><li id=\"field_40_138\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_138\"><label class='gfield_label gfield_label_before_complex'  >2. LIMITED LIABILITY COMPANY NOT MANAGED BY MEMBERS AND NOT SIMILAR TO GENERAL PARTNERSHIP: PLEASE NOTE (A) &amp; (B) MUST BE CHECKED FOR FISHERY AND COASTWISE ENDORSEMENTS; NOT REQUIRED FOR COASTWISE OIL SPILL OR COASTWISE UNDER CHARTER ENDORSEMENTS.<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_40_138'><li class='gchoice gchoice_40_138_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_138.1' type='checkbox'  value='A. I (WE) CERTIFY THAT ANY PERSON ELECTED TO MANAGE THE LLC OR WHO IS AUTHORIZED TO BIND THE LLC, AND ANY PERSON WHO HOLDS A POSITION EQUIVALENT TO THE CHIEF EXECUTIVE OFFICER, BY WHATEVER TITLE, AND THE CHAIRMAN OF THE BOARD OF DIRECTORS IN A CORPORATION, AND ANY PERSONS AUTHORIZED TO ACT IN THEIR ABSENCE ARE CITIZENS OF THE UNITED STATES'  id='choice_40_138_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_138_1' id='label_40_138_1'>A. I (WE) CERTIFY THAT ANY PERSON ELECTED TO MANAGE THE LLC OR WHO IS AUTHORIZED TO BIND THE LLC, AND ANY PERSON WHO HOLDS A POSITION EQUIVALENT TO THE CHIEF EXECUTIVE OFFICER, BY WHATEVER TITLE, AND THE CHAIRMAN OF THE BOARD OF DIRECTORS IN A CORPORATION, AND ANY PERSONS AUTHORIZED TO ACT IN THEIR ABSENCE ARE CITIZENS OF THE UNITED STATES<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_138_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_138.2' type='checkbox'  value='B. NON-CITIZENS DO NOT HAVE AUTHORITY WITHIN A MANAGEMENT GROUP, WHETHER THROUGH VETO POWER, COMBINED VOTING, OR OTHERWISE, TO EXERCISE CONTROL OVER THE LLC'  id='choice_40_138_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_138_2' id='label_40_138_2'>B. NON-CITIZENS DO NOT HAVE AUTHORITY WITHIN A MANAGEMENT GROUP, WHETHER THROUGH VETO POWER, COMBINED VOTING, OR OTHERWISE, TO EXERCISE CONTROL OVER THE LLC<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_139\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_139\"><label class='gfield_label' for='input_40_139' >PLEASE STATE WHERE ORGANIZED<\/label><div class='ginput_container ginput_container_text'><input name='input_139' id='input_40_139' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_40_140\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_140\"><label class='gfield_label gfield_label_before_complex'  >PARTNERSHIP (COMPLETE EQUITY SECTION AND CHOOSE TYPE) (SEE SECTION M, ITEM 5 WHEN APPLYING FOR FISHERY OR COASTWISE ENDORSEMENT) EQUITY INTEREST OWNED BY PERSONS ELIGIBLE TO DOCUMENT VESSELS IN THEIR OWN RIGHT WITH THE ENDORSEMENT SOUGHT IN ACCORDANCE WITH 46 CFR PART 67 (SUBPART C)<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_40_140'><li class='gchoice gchoice_40_140_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_140.1' type='checkbox'  value='LESS THAN 50%'  id='choice_40_140_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_140_1' id='label_40_140_1'>LESS THAN 50%<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_140_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_140.2' type='checkbox'  value='75% OR MORE (AND, AT EACH TIER, IF APPLICABLE)'  id='choice_40_140_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_140_2' id='label_40_140_2'>75% OR MORE (AND, AT EACH TIER, IF APPLICABLE)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_140_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_140.3' type='checkbox'  value='75% OR MORE (AND, AT EACH TIER AND IN THE AGGREGATE (IF FISHERY), IF APPLICABLE)'  id='choice_40_140_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_140_3' id='label_40_140_3'>75% OR MORE (AND, AT EACH TIER AND IN THE AGGREGATE (IF FISHERY), IF APPLICABLE)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_140_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_140.4' type='checkbox'  value='50% OR MORE: (I)'  id='choice_40_140_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_140_4' id='label_40_140_4'>50% OR MORE: (I)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_141\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_141\"><label class='gfield_label' for='input_40_141' >PLEASE STATE EXACT PERCENTAGE<\/label><div class='ginput_container ginput_container_text'><input name='input_141' id='input_40_141' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_40_142\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_142\"><label class='gfield_label screen-reader-text gfield_label_before_complex'  ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_40_142'><li class='gchoice gchoice_40_142_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_142.1' type='checkbox'  value='&lt;b&gt;1. GENERAL PARTNERSHIP&lt;\/b&gt;&lt;br&gt;I (WE) CERTIFY THAT ALL PARTNERS IN THIS PARTNERSHIP ARE CITIZENS OF THE UNITED STATES ELIGIBLE TO DOCUMENT VESSELS WITH THE ENDORSEMENT(S) SOUGHT IN THEIR OWN RIGHT.'  id='choice_40_142_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_142_1' id='label_40_142_1'><b>1. GENERAL PARTNERSHIP<\/b><br>I (WE) CERTIFY THAT ALL PARTNERS IN THIS PARTNERSHIP ARE CITIZENS OF THE UNITED STATES ELIGIBLE TO DOCUMENT VESSELS WITH THE ENDORSEMENT(S) SOUGHT IN THEIR OWN RIGHT.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_142_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_142.2' type='checkbox'  value='&lt;b&gt;2. LIMITED PARTNERSHIP&lt;\/b&gt;&lt;br&gt; I (WE) CERTIFY THAT ALL GENERAL PARTNERS IN THIS PARTNERSHIP ARE CITIZENS OF THE UNITED STATES, ELIGIBLE TO DOCUMENT VESSELS WITH THE ENDORSEMENT(S) SOUGHT IN THEIR OWN RIGHT.'  id='choice_40_142_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_142_2' id='label_40_142_2'><b>2. LIMITED PARTNERSHIP<\/b><br> I (WE) CERTIFY THAT ALL GENERAL PARTNERS IN THIS PARTNERSHIP ARE CITIZENS OF THE UNITED STATES, ELIGIBLE TO DOCUMENT VESSELS WITH THE ENDORSEMENT(S) SOUGHT IN THEIR OWN RIGHT.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_143\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_143\"><label class='gfield_label' for='input_40_143' >LIST ALL GENERAL PARTNERS (REQUIRED)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_143' id='input_40_143' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_40_144\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_144\"><label class='gfield_label gfield_label_before_complex'  >TRUST ARRANGEMENT<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_40_144'><li class='gchoice gchoice_40_144_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_144.1' type='checkbox'  value='I (WE) CERTIFY THAT ALL TRUSTEES AND ALL BENEFICIARIES WITH AN ENFORCEABLE INTEREST IN THIS TRUST ARRANGEMENT ARE CITIZENS OF THE UNITED STATES, ELIGIBLE TO DOCUMENT VESSELS WITH THE ENDORSEMENT(S) SOUGHT IN THEIR OWN RIGHT.'  id='choice_40_144_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_144_1' id='label_40_144_1'>I (WE) CERTIFY THAT ALL TRUSTEES AND ALL BENEFICIARIES WITH AN ENFORCEABLE INTEREST IN THIS TRUST ARRANGEMENT ARE CITIZENS OF THE UNITED STATES, ELIGIBLE TO DOCUMENT VESSELS WITH THE ENDORSEMENT(S) SOUGHT IN THEIR OWN RIGHT.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_145\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_145\"><label class='gfield_label gfield_label_before_complex'  >SPECIFY EQUITY INTEREST OWNED BY PERSONS ELIGIBLE TO DOCUMENT VESSELS IN THEIR OWN RIGHT WITH THE ENDORSEMENT(S) SOUGHT IN ACCORDANCE WITH 46 CFR PART 67 (SUBPART C)<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_40_145'><li class='gchoice gchoice_40_145_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.1' type='checkbox'  value='LESS THAN 50%'  id='choice_40_145_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_145_1' id='label_40_145_1'>LESS THAN 50%<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_145_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.2' type='checkbox'  value='50% OR MORE: (I)'  id='choice_40_145_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_145_2' id='label_40_145_2'>50% OR MORE: (I)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_145_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.3' type='checkbox'  value='75% OR MORE (AND, AT EACH TIER, IF APPLICABLE)'  id='choice_40_145_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_145_3' id='label_40_145_3'>75% OR MORE (AND, AT EACH TIER, IF APPLICABLE)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_145_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.4' type='checkbox'  value='75% OR MORE (AND, AT EACH TIER AND IN THE AGGREGATE (IF FISHERY), IF APPLICABLE)'  id='choice_40_145_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_145_4' id='label_40_145_4'>75% OR MORE (AND, AT EACH TIER AND IN THE AGGREGATE (IF FISHERY), IF APPLICABLE)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_146\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_146\"><label class='gfield_label' for='input_40_146' >PLEASE STATE EXACT PERCENTAGE<\/label><div class='ginput_container ginput_container_text'><input name='input_146' id='input_40_146' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_40_147\"  class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_147\"><strong>OR<\/strong><\/li><li id=\"field_40_148\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_148\"><label class='gfield_label screen-reader-text gfield_label_before_complex'  ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_40_148'><li class='gchoice gchoice_40_148_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_148.1' type='checkbox'  value='VESSEL OWNED IN A TRUST ARRANGEMENT PURSUANT TO 46 USC 12111(c) (CROSS BORDER FINANCING)'  id='choice_40_148_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_148_1' id='label_40_148_1'>VESSEL OWNED IN A TRUST ARRANGEMENT PURSUANT TO 46 USC 12111(c) (CROSS BORDER FINANCING)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_149\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_149\"><label class='gfield_label' for='input_40_149' >LIST ALL ALL TRUSTEES AND ALL BENEFICIARIES WITH AN ENFORCEABLE INTEREST (REQUIRED)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_149' id='input_40_149' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_40_121\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_121\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_40_178\"  class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_178\"><label class=\"gfield_label\">M. I (WE) CERTIFY THAT: (MARK ALL THAT ARE APPLICABLE. ITEM 5. NOT REQUIRED FOR COASTWISE BOWATER ONLY, OIL SPILL, OR UNDER CHARTER ENDORSEMENTS.)<\/label><br>\n\n<div class=\"gfield_description\">Complete as appropriate. The law provides severe penalties for false statements against both the person (including agents) making the statement and against the vessel for which it is made.<\/div><\/li><li id=\"field_40_179\"  class=\"gfield checkbox-spacing field_sublabel_below field_description_above gfield_visibility_visible\"  data-js-reload=\"field_40_179\"><label class='gfield_label screen-reader-text gfield_label_before_complex'  ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_40_179'><li class='gchoice gchoice_40_179_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_179.1' type='checkbox'  value='1. I AM (WE ARE) A CITIZEN(S) OF THE UNITED STATES AND LEGALLY AUTHORIZED TO EXECUTE THIS APPLICATION IN THE CAPACITY SHOWN;'  id='choice_40_179_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_179_1' id='label_40_179_1'>1. I AM (WE ARE) A CITIZEN(S) OF THE UNITED STATES AND LEGALLY AUTHORIZED TO EXECUTE THIS APPLICATION IN THE CAPACITY SHOWN;<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_180\"  class=\"gfield checkbox-spacing field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_180\"><label class='gfield_label screen-reader-text gfield_label_before_complex'  ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_40_180'><li class='gchoice gchoice_40_180_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_180.1' type='checkbox'  value='2. IN ACCORDANCE WITH 46 CFR PART 67 (SUBPART I) THE VESSEL(S) TO WHICH THIS APPLICATION APPLIES;'  id='choice_40_180_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_180_1' id='label_40_180_1'>2. IN ACCORDANCE WITH 46 CFR PART 67 (SUBPART I) THE VESSEL(S) TO WHICH THIS APPLICATION APPLIES;<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_57\"  class=\"gfield gf_list_2col field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_57\"><label class='gfield_label screen-reader-text gfield_label_before_complex'  >(b) WILL AT ALL TIMES REMAIN UNDER THE COMMAND OF A U.S. CITIZEN, UNLESS DOCUMENTED SOLELY WITH A RECREATIONAL ENDORSEMENT; WILL NOT BE OPERATED IN A TRADE NOT AUTHORIZED BY THE ENDORSEMENT(S) ON THE CERTIFICATE(S) OF DOCUMENTATION. THE NAME(S) OF THE VESSEL(S) WILL NOT BE CHANGED WITHOUT APPROVAL FROM THE NATIONAL VESSEL DOCUMENTATION CENTER; AND I (WE) WILL PROMPTLY NOTIFY THE NATIONAL VESSEL DOCUMENTATION CENTER UPON A CHANGE IN ANY OF THE INFORMATION OR REPRESENTATIONS IN THIS APPLICATION.<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_40_57'><li class='gchoice gchoice_40_57_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.1' type='checkbox'  value='(a) HAS (HAVE) BEEN MARKED'  id='choice_40_57_1'   aria-describedby=\"gfield_description_40_57\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_40_57_1' id='label_40_57_1'>(a) HAS (HAVE) BEEN MARKED<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_57_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.2' type='checkbox'  value='WILL BE MARKED;'  id='choice_40_57_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_57_2' id='label_40_57_2'>WILL BE MARKED;<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_40_57'>(b) WILL AT ALL TIMES REMAIN UNDER THE COMMAND OF A U.S. CITIZEN, UNLESS DOCUMENTED SOLELY WITH A RECREATIONAL ENDORSEMENT; WILL NOT BE OPERATED IN A TRADE NOT AUTHORIZED BY THE ENDORSEMENT(S) ON THE CERTIFICATE(S) OF DOCUMENTATION. THE NAME(S) OF THE VESSEL(S) WILL NOT BE CHANGED WITHOUT APPROVAL FROM THE NATIONAL VESSEL DOCUMENTATION CENTER; AND I (WE) WILL PROMPTLY NOTIFY THE NATIONAL VESSEL DOCUMENTATION CENTER UPON A CHANGE IN ANY OF THE INFORMATION OR REPRESENTATIONS IN THIS APPLICATION.<\/div><\/li><li id=\"field_40_181\"  class=\"gfield gf_list_inline checkbox-spacing field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_181\"><label class='gfield_label screen-reader-text gfield_label_before_complex'  ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_40_181'><li class='gchoice gchoice_40_181_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_181.1' type='checkbox'  value='3. HAS (HAVE) NOT   OR'  id='choice_40_181_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_181_1' id='label_40_181_1'>3. HAS (HAVE) NOT OR<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_181_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_181.2' type='checkbox'  value='3a. HAS (HAVE) BEEN REBUILT OR SUBSTANTIALLY ALTERED SINCE LAST DOCUMENTATION;'  id='choice_40_181_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_181_2' id='label_40_181_2'>3a. HAS (HAVE) BEEN REBUILT OR SUBSTANTIALLY ALTERED SINCE LAST DOCUMENTATION;<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_182\"  class=\"gfield checkbox-spacing field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_182\"><label class='gfield_label screen-reader-text gfield_label_before_complex'  ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_40_182'><li class='gchoice gchoice_40_182_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_182.1' type='checkbox'  value='4. THE VESSEL IS (NOT TITLED UNDER A STATE OR TITLED UNDER THE LAWS OF [INPUT])'  id='choice_40_182_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_182_1' id='label_40_182_1'>4. THE VESSEL IS (NOT TITLED UNDER A STATE OR TITLED UNDER THE LAWS OF [INPUT])<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_58\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_58\"><label class='gfield_label gfield_label_before_complex'  >THE VESSEL IS<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_40_58'><li class='gchoice gchoice_40_58_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.1' type='checkbox'  value='NOT TITLED UNDER A STATE (OR)'  id='choice_40_58_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_58_1' id='label_40_58_1'>NOT TITLED UNDER A STATE (OR)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_58_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.2' type='checkbox'  value='TITLED UNDER THE LAWS OF (INPUT BELOW)'  id='choice_40_58_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_58_2' id='label_40_58_2'>TITLED UNDER THE LAWS OF (INPUT BELOW)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_154\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_154\"><label class='gfield_label' for='input_40_154' >TITLED UNDER THE LAWS OF:<\/label><div class='ginput_container ginput_container_text'><input name='input_154' id='input_40_154' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_40_60\"  class=\"gfield field_sublabel_below field_description_above gfield_visibility_visible\"  data-js-reload=\"field_40_60\"><label class='gfield_label gfield_label_before_complex'  >THE FOLLOWING ITEM (5.) IS REQUIRED FOR COASTWISE AND\/OR FISHERY ENDORSEMENTS; HOWEVER, IT IS NOT REQUIRED FOR COASTWISE BOWATER ONLY, OIL SPILL, OR UNDER CHARTER ENDORSEMENTS.<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_40_60'><li class='gchoice gchoice_40_60_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_60.1' type='checkbox'  value='5. U.S. CONTROL CERTIFICATION: THERE IS NO CONTRACT OR UNDERSTANDING THAT PROVIDES MORE THAN 25% OF THE VOTING POWER IN THE PARTNERSHIP, LIMITED LIABILITY COMPANY, CORPORATION, OR OTHER OWNING ENTITY EITHER DIRECTLY OR INDIRECTLY ON BEHALF OF ANY PERSON NOT A CITIZEN OF THE UNITED STATES. BY NO MEANS WHATSOEVER IS CONTROL IN EXCESS OF 25% CONFERRED UPON OR PERMITTED TO BE EXERCISED BY A PERSON WHO IS NOT A CITIZEN OF THE UNITED STATES.'  id='choice_40_60_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_60_1' id='label_40_60_1'>5. U.S. CONTROL CERTIFICATION: THERE IS NO CONTRACT OR UNDERSTANDING THAT PROVIDES MORE THAN 25% OF THE VOTING POWER IN THE PARTNERSHIP, LIMITED LIABILITY COMPANY, CORPORATION, OR OTHER OWNING ENTITY EITHER DIRECTLY OR INDIRECTLY ON BEHALF OF ANY PERSON NOT A CITIZEN OF THE UNITED STATES. BY NO MEANS WHATSOEVER IS CONTROL IN EXCESS OF 25% CONFERRED UPON OR PERMITTED TO BE EXERCISED BY A PERSON WHO IS NOT A CITIZEN OF THE UNITED STATES.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_183\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_183\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_40_61\"  class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_61\">POTENTIAL PENALTIES FOR FALSE STATEMENTS OR REPRESENTATIONS BY OWNER OR REPRESENTATIVE: CIVIL, MONETARY, VESSEL FORFEITURE (46 USC 12151), FINE AND\/OR IMPRISONMENT (18 USC 1001)<\/li><li id=\"field_40_62\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_62\"><label class='gfield_label' for='input_40_62' >AUTHORIZED SIGNATURE<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_62' id='input_40_62' type='text' value='' class='medium'  aria-describedby=\"gfield_description_40_62\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_40_62'>SIGNATURE (TYPE FULL NAME)<\/div><\/li><li id=\"field_40_214\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_214\"><label class='gfield_label' for='input_40_214' >Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div ><div id='input_40_214_Container' class='gfield_signature_container ginput_container' style='height:180px; width:500px; ' ><input type='hidden' class='gform_hidden' name='input_40_214_valid' id='input_40_214_valid' \/><canvas id='input_40_214' width='500' height='180'><\/canvas><\/div><\/div><\/li><li id=\"field_40_63\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_63\"><label class='gfield_label' for='input_40_63' >DATE<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_63' id='input_40_63' type='text' value='06\/04\/2026' class='datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_40_63_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_40_63_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_40_63' class='gform_hidden' value='https:\/\/nvdcdocumentation.us\/nvdc\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_40_64\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_64\"><label class='gfield_label screen-reader-text' for='input_40_64' >CAPACITY (E.G., OWNER, AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER)<\/label><div class='ginput_container ginput_container_text'><input name='input_64' id='input_40_64' type='text' value='' class='medium'  aria-describedby=\"gfield_description_40_64\"    aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_40_64'>CAPACITY (E.G., OWNER, AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER)<\/div><\/li><li id=\"field_40_65\"  class=\"gfield application_fees_section gfield_html gfield_html_formatted field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_65\">APPLICATION FEES ARE NOT REFUNDABLE (46 CFR 67.500 (e)).<\/li><li id=\"field_40_66\"  class=\"gfield privacy_act_section gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_66\">PRIVACY ACT STATEMENT IN ACCORDANCE WITH 5 U.S.C. 553a, THE FOLLOWING INFORMATION IS PROVIDED TO YOU WHEN SUPPLYING PERSONAL INFORMATION TO THE U.S. COAST GUARD. 1. AUTHORITY. SOLICITATION OF THIS INFORMATION IS AUTHORIZED BY 46 U.S.C., CHAPTERS 121 AND 125; 46 U.S.C. APP. 802 AND 883. 2. THE PRINCIPAL PURPOSES FOR WHICH THIS INFORMATION IS TO BE USED ARE: (1) TO DETERMINE CITIZENSHIP OF THE OWNER OF THE VESSEL FOR WHICH APPLICATION FOR DOCUMENTATION IS MADE; AND (2) TO DETERMINE ELIGIBILITY OF THE VESSEL TO BE DOCUMENTED WITH THE TRADE ENDORSEMENT SOUGHT. 3. THE ROUTINE USES WHICH MAY BE MADE OF THIS INFORMATION INCLUDE RELEASE TO LAW ENFORCEMENT OFFICIALS, TO THE GENERAL PUBLIC UNDER FREEDOM OF INFORMATION ACT, AND TO PUBLISH INFORMATION ABOUT U.S. DOCUMENTED VESSELS. 4. DISCLOSURE OF THE INFORMATION REQUESTED ON THIS FORM IS VOLUNTARY, HOWEVER, FAILURE TO PROVIDE THE INFORMATION REQUESTED WILL RESULT IN DENIAL OF THE APPLICATION FOR DOCUMENTATION, WHICH MAY PREVENT THE OWNER FROM OPERATING THE VESSEL(S) IN A SPECIFIED TRADE.<\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_40_74' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_40\").val(\"1\");  jQuery(\"#gform_40\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_40\").val(\"1\");  jQuery(\"#gform_40\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_40_74' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_40\").val(\"3\");  jQuery(\"#gform_40\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_40\").val(\"3\");  jQuery(\"#gform_40\").trigger(\"submit\",[true]); } ' \/> <a type='button' href=\"javascript:void(0);\" id='gform_save_40_3_link' class='gform_save_link'  onclick='if(window[\"gf_submitting_40\"]){return false;}  window[\"gf_submitting_40\"]=true; jQuery(\"#gform_save_40\").val(1); jQuery(\"#gform_40\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_40\"]){return false;} window[\"gf_submitting_40\"]=true; jQuery(\"#gform_save_40\").val(1); jQuery(\"#gform_40\").trigger(\"submit\",[true]); }'> Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_40_3' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_40_3' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_40_126\"  class=\"gfield gfield_price gfield_price_40_126 gfield_product_40_126 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_126\"><label class='gfield_label gfield_label_before_complex' for='input_40_126_1' >VESSEL NAME OR HAILING PORT CHANGE<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_126.1' value='VESSEL NAME OR HAILING PORT CHANGE' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_40_126' class='ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_126.2' id='ginput_base_price_40_126' class='gform_hidden' value='$300.00' aria-label='VESSEL NAME OR HAILING PORT CHANGE Price'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_126.3' value='1' class='ginput_quantity_40_126 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_40_220\"  class=\"gfield gfield_price gfield_price_40_220 gfield_product_40_220 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_220\"><label class='gfield_label gfield_label_before_complex' for='input_40_220_1' >VESSEL NAME OR HAILING PORT CHANGE - NICK<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_220.1' value='VESSEL NAME OR HAILING PORT CHANGE - NICK' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_40_220' class='ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_220.2' id='ginput_base_price_40_220' class='gform_hidden' value='$0.00' aria-label='VESSEL NAME OR HAILING PORT CHANGE - NICK Price'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_220.3' value='1' class='ginput_quantity_40_220 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_40_189\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_189\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_40_191\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_191\"><label class='gfield_label gfield_label_before_complex'  >Please select any additional services you wish to add to have processed<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_40_191'><li class='gchoice gchoice_40_191_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_191.1' type='checkbox'  value='Priority Request\/Rush Processing'  id='choice_40_191_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_191_1' id='label_40_191_1'>Priority Request\/Rush Processing<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_191_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_191.2' type='checkbox'  value='Abstract of Title'  id='choice_40_191_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_191_2' id='label_40_191_2'>Abstract of Title<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_191_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_191.3' type='checkbox'  value='Certified Copy of COD'  id='choice_40_191_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_191_3' id='label_40_191_3'>Certified Copy of COD<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_191_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_191.4' type='checkbox'  value='Preferred Mortgage'  id='choice_40_191_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_191_4' id='label_40_191_4'>Preferred Mortgage<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_191_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_191.5' type='checkbox'  value='Satisfaction of Mortgage'  id='choice_40_191_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_191_5' id='label_40_191_5'>Satisfaction of Mortgage<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_198\"  class=\"gfield gfield_price gfield_price_40_198 gfield_product_40_198 field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_198\"><label class='gfield_label gfield_label_before_complex' for='input_40_198_1' >Priority Request\/Rush Processing<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_198.1' value='Priority Request\/Rush Processing' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_40_198' class='ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_198.2' id='ginput_base_price_40_198' class='gform_hidden' value='$75.00' aria-label='Priority Request\/Rush Processing Price'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_198.3' value='1' class='ginput_quantity_40_198 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_40_197\"  class=\"gfield gfield_price gfield_price_40_197 gfield_product_40_197 field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_197\"><label class='gfield_label gfield_label_before_complex' for='input_40_197_1' >Abstract of Title<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_197.1' value='Abstract of Title' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_40_197' class='ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_197.2' id='ginput_base_price_40_197' class='gform_hidden' value='$84.00' aria-label='Abstract of Title Price'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_197.3' value='1' class='ginput_quantity_40_197 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_40_196\"  class=\"gfield gfield_price gfield_price_40_196 gfield_product_40_196 field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_196\"><label class='gfield_label gfield_label_before_complex' for='input_40_196_1' >Certified Copy of COD<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_196.1' value='Certified Copy of COD' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_40_196' class='ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_196.2' id='ginput_base_price_40_196' class='gform_hidden' value='$84.00' aria-label='Certified Copy of COD Price'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_196.3' value='1' class='ginput_quantity_40_196 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_40_195\"  class=\"gfield gfield_price gfield_price_40_195 gfield_product_40_195 field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_195\"><label class='gfield_label gfield_label_before_complex' for='input_40_195_1' >Preferred Mortgage<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_195.1' value='Preferred Mortgage' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_40_195' class='ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_195.2' id='ginput_base_price_40_195' class='gform_hidden' value='$195.00' aria-label='Preferred Mortgage Price'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_195.3' value='1' class='ginput_quantity_40_195 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_40_194\"  class=\"gfield gfield_price gfield_price_40_194 gfield_product_40_194 field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_194\"><label class='gfield_label gfield_label_before_complex' for='input_40_194_1' >Satisfaction of Mortgage<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_194.1' value='Satisfaction of Mortgage' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_40_194' class='ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_194.2' id='ginput_base_price_40_194' class='gform_hidden' value='$155.00' aria-label='Satisfaction of Mortgage Price'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_194.3' value='1' class='ginput_quantity_40_194 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_40_192\"  class=\"gfield gfield_price gfield_price_40_192 gfield_product_40_192 field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_192\"><label class='gfield_label gfield_label_before_complex' for='input_40_192_1' >Coastwise Endorsement<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_192.1' value='Coastwise Endorsement' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_40_192' class='ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_192.2' id='ginput_base_price_40_192' class='gform_hidden' value='$29.00' aria-label='Coastwise Endorsement Price'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_192.3' value='1' class='ginput_quantity_40_192 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_40_193\"  class=\"gfield gfield_price gfield_price_40_193 gfield_product_40_193 field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_193\"><label class='gfield_label gfield_label_before_complex' for='input_40_193_1' >Fishery Endorsement<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_193.1' value='Fishery Endorsement' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_40_193' class='ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_193.2' id='ginput_base_price_40_193' class='gform_hidden' value='$12.00' aria-label='Fishery Endorsement Price'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_193.3' value='1' class='ginput_quantity_40_193 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_40_218\"  class=\"gfield gfield_price gfield_price_40_218 gfield_product_40_218 field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_218\"><label class='gfield_label gfield_label_before_complex' for='input_40_218_1' >Lien\/Mortgage Processing Fee<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_218.1' value='Lien\/Mortgage Processing Fee' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_40_218' class='ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_218.2' id='ginput_base_price_40_218' class='gform_hidden' value='$54.00' aria-label='Lien\/Mortgage Processing Fee Price'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_218.3' value='1' class='ginput_quantity_40_218 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_40_188\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_188\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_40_170\"  class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_170\"><h3>PRIORITY REQUEST \/ RUSH PROCESSING<\/h3><\/li><li id=\"field_40_77\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_77\"><label class='gfield_label' for='input_40_77' >Reason for Priority Request<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_77' id='input_40_77' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_40_129\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_129\"><label class='gfield_label screen-reader-text gfield_label_before_complex'  ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_40_129'><li class='gchoice gchoice_40_129_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_129.1' type='checkbox'  value='I (we) understand that making a false statement when applying for vessel documentation may subject the vessel to seizure by and forfeiture to the United States Government (46 USC \u00a712151, formerly 46 USC \u00a712122).' checked='checked' id='choice_40_129_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_129_1' id='label_40_129_1'>I (we) understand that making a false statement when applying for vessel documentation may subject the vessel to seizure by and forfeiture to the United States Government (46 USC \u00a712151, formerly 46 USC \u00a712122).<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_157\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_157\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_40_162\"  class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_162\"><h3>PREFERRED MORTGAGE<\/h3><\/li><li id=\"field_40_163\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_163\"><label class='gfield_label gfield_label_before_complex'  >INSTRUMENT TYPE (CHECK ALL THAT APPLY)<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_40_163'><li class='gchoice gchoice_40_163_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_163.1' type='checkbox'  value='PREFERRED MORTGAGE'  id='choice_40_163_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_163_1' id='label_40_163_1'>PREFERRED MORTGAGE<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_163_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_163.2' type='checkbox'  value='CHATTEL MORTGAGE'  id='choice_40_163_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_163_2' id='label_40_163_2'>CHATTEL MORTGAGE<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_163_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_163.3' type='checkbox'  value='AMENDMENT'  id='choice_40_163_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_163_3' id='label_40_163_3'>AMENDMENT<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_163_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_163.4' type='checkbox'  value='ASSUMPTION'  id='choice_40_163_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_163_4' id='label_40_163_4'>ASSUMPTION<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_163_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_163.5' type='checkbox'  value='SUPPLEMENT'  id='choice_40_163_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_163_5' id='label_40_163_5'>SUPPLEMENT<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_163_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_163.6' type='checkbox'  value='SUBORDINATION'  id='choice_40_163_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_163_6' id='label_40_163_6'>SUBORDINATION<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_163_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_163.7' type='checkbox'  value='ASSIGNMENT'  id='choice_40_163_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_163_7' id='label_40_163_7'>ASSIGNMENT<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_163_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_163.8' type='checkbox'  value='OTHER (DESCRIBE)'  id='choice_40_163_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_163_8' id='label_40_163_8'>OTHER (DESCRIBE)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_164\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_164\"><label class='gfield_label' for='input_40_164' >Describe<\/label><div class='ginput_container ginput_container_text'><input name='input_164' id='input_40_164' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_40_165\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_165\"><label class='gfield_label' for='input_40_165' >NAME(S) AND ADDRESS(ES) OF GRANTOR(S) (MORTGAGOR(S), ASSIGNOR(S), ASSUMING PARTY(IES), OR OTHER(S)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_165' id='input_40_165' class='textarea medium'  aria-describedby=\"gfield_description_40_165\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_40_165'>GRANTOR. FOR PURPOSES OF THIS FORM, GRANTORS INCLUDE MORTGAGORS, ASSIGNORS, PERSONS ASSUMING MORTGAGES, PERSONS GRANTING SUBORDINATION OF MORTGAGES. LIST ALL GRANTORS AND ADDRESSES. <\/div><\/li><li id=\"field_40_166\"  class=\"gfield field_sublabel_below field_description_above gfield_visibility_visible\"  data-js-reload=\"field_40_166\"><label class='gfield_label' for='input_40_166' >INTEREST OWNED IN VESSEL OR HELD IN MORTGAGE AFFECTED BY ATTACHED INSTRUMENT (100% UNLESS OTHERWISE STATED)<\/label><div class='ginput_container ginput_container_text'><input name='input_166' id='input_40_166' type='text' value='' class='medium'    placeholder='IF 100%, PLEASE LEAVE BLANK'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_40_167\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_167\"><label class='gfield_label' for='input_40_167' >NAME(S) AND ADDRESS(ES) OF GRANTEE(S) (MORTGAGEE(S), ASSIGNEE(S), OR OTHER(S)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_167' id='input_40_167' class='textarea medium'  aria-describedby=\"gfield_description_40_167\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_40_167'>GRANTEE. FOR PURPOSES OF THIS FORM, GRANTEES\nINCLUDE MORTGAGEES, ASSIGNEES, PERSON FROM WHOM MORTGAGES ARE ASSUMED, AND PERSON TO WHOM SUBORDINATION OF MORTGAGES ARE GRANTED. LIST ALL GRANTEES AND ADDRESSES.<\/div><\/li><li id=\"field_40_168\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_168\"><label class='gfield_label' for='input_40_168' >INTEREST OWNED IN VESSEL OR HELD IN MORTGAGE AFFECTED BY ATTACHED INSTRUMENT (100% UNLESS OTHERWISE STATED)<\/label><div class='ginput_container ginput_container_text'><input name='input_168' id='input_40_168' type='text' value='' class='medium'    placeholder='IF 100%, PLEASE LEAVE BLANK'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_40_169\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_169\"><label class='gfield_label' for='input_40_169' >Amount<\/label><div class='ginput_container ginput_container_text'><input name='input_169' id='input_40_169' type='text' value='' class='medium'    placeholder='$'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_40_161\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_161\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_40_158\"  class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_158\"><h3>SATISFACTION OF MORTGAGE<\/h3><\/li><li id=\"field_40_78\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_78\"><label class='gfield_label gfield_label_before_complex'  >INSTRUMENT TYPE (CHECK ALL THAT APPLY)<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_40_78'><li class='gchoice gchoice_40_78_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_78.1' type='checkbox'  value='PREFERRED MORTGAGE'  id='choice_40_78_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_78_1' id='label_40_78_1'>PREFERRED MORTGAGE<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_78_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_78.2' type='checkbox'  value='CHATTEL MORTGAGE'  id='choice_40_78_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_78_2' id='label_40_78_2'>CHATTEL MORTGAGE<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_78_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_78.3' type='checkbox'  value='AMENDMENT'  id='choice_40_78_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_78_3' id='label_40_78_3'>AMENDMENT<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_78_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_78.4' type='checkbox'  value='ASSUMPTION'  id='choice_40_78_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_78_4' id='label_40_78_4'>ASSUMPTION<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_78_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_78.5' type='checkbox'  value='SUPPLEMENT'  id='choice_40_78_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_78_5' id='label_40_78_5'>SUPPLEMENT<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_78_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_78.6' type='checkbox'  value='SUBORDINATION'  id='choice_40_78_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_78_6' id='label_40_78_6'>SUBORDINATION<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_78_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_78.7' type='checkbox'  value='ASSIGNMENT'  id='choice_40_78_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_78_7' id='label_40_78_7'>ASSIGNMENT<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_40_78_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_78.8' type='checkbox'  value='OTHER (DESCRIBE)'  id='choice_40_78_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_78_8' id='label_40_78_8'>OTHER (DESCRIBE)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_159\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_159\"><label class='gfield_label' for='input_40_159' >Describe<\/label><div class='ginput_container ginput_container_text'><input name='input_159' id='input_40_159' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_40_160\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_160\"><label class='gfield_label' for='input_40_160' >NAME(S) AND ADDRESS(ES) OF GRANTOR(S) (MORTGAGOR(S), ASSIGNOR(S), ASSUMING PARTY(IES), OR OTHER(S)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_160' id='input_40_160' class='textarea medium'  aria-describedby=\"gfield_description_40_160\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_40_160'>GRANTOR. FOR PURPOSES OF THIS FORM, GRANTORS INCLUDE MORTGAGORS, ASSIGNORS, PERSONS ASSUMING MORTGAGES, PERSONS GRANTING SUBORDINATION OF MORTGAGES. LIST ALL GRANTORS AND ADDRESSES. <\/div><\/li><li id=\"field_40_80\"  class=\"gfield field_sublabel_below field_description_above gfield_visibility_visible\"  data-js-reload=\"field_40_80\"><label class='gfield_label' for='input_40_80' >INTEREST OWNED IN VESSEL OR HELD IN MORTGAGE AFFECTED BY ATTACHED INSTRUMENT (100% UNLESS OTHERWISE STATED)<\/label><div class='ginput_container ginput_container_text'><input name='input_80' id='input_40_80' type='text' value='' class='medium'    placeholder='IF 100%, PLEASE LEAVE BLANK'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_40_79\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_79\"><label class='gfield_label' for='input_40_79' >NAME(S) AND ADDRESS(ES) OF GRANTEE(S) (MORTGAGEE(S), ASSIGNEE(S), OR OTHER(S)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_79' id='input_40_79' class='textarea medium'  aria-describedby=\"gfield_description_40_79\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_40_79'>GRANTEE. FOR PURPOSES OF THIS FORM, GRANTEES\nINCLUDE MORTGAGEES, ASSIGNEES, PERSON FROM WHOM MORTGAGES ARE ASSUMED, AND PERSON TO WHOM SUBORDINATION OF MORTGAGES ARE GRANTED. LIST ALL GRANTEES AND ADDRESSES.<\/div><\/li><li id=\"field_40_81\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_81\"><label class='gfield_label' for='input_40_81' >INTEREST OWNED IN VESSEL OR HELD IN MORTGAGE AFFECTED BY ATTACHED INSTRUMENT (100% UNLESS OTHERWISE STATED)<\/label><div class='ginput_container ginput_container_text'><input name='input_81' id='input_40_81' type='text' value='' class='medium'    placeholder='IF 100%, PLEASE LEAVE BLANK'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_40_82\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_82\"><label class='gfield_label' for='input_40_82' >Amount<\/label><div class='ginput_container ginput_container_text'><input name='input_82' id='input_40_82' type='text' value='' class='medium'  aria-describedby=\"gfield_description_40_82\"  placeholder='$'  aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_40_82'>IF THE FOLLOWING INFORMATION IS UNKNOWN YOU MUST ORDER AN ABSTRACT OF TITLE UNDER ADDITIONAL SERVICES TOWARDS THE TOP OF THE PAGE.<\/div><\/li><li id=\"field_40_83\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_83\"><label class='gfield_label' for='input_40_83' >RECORDED BOOK:<\/label><div class='ginput_container ginput_container_text'><input name='input_83' id='input_40_83' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_40_84\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_84\"><label class='gfield_label' for='input_40_84' >Page<\/label><div class='ginput_container ginput_container_text'><input name='input_84' id='input_40_84' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_40_125\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_125\"><label class='gfield_label' for='input_40_125' >FILE\/RECORDED DATE:<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_125' id='input_40_125' type='text' value='' class='datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_40_125_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_40_125_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_40_125' class='gform_hidden' value='https:\/\/nvdcdocumentation.us\/nvdc\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_40_86\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_86\"><label class='gfield_label' for='input_40_86' >TIME:<\/label><div class='ginput_container ginput_container_text'><input name='input_86' id='input_40_86' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_40_87\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_87\"><label class='gfield_label' for='input_40_87' >OTHER IDENTIFYING DATA:<\/label><div class='ginput_container ginput_container_text'><input name='input_87' id='input_40_87' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_40_173\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_173\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_40_221\"  class=\"gfield vessel-type gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_221\"><label class='gfield_label'  >Vessel Type?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_40_221'>\n\t\t\t<li class='gchoice gchoice_40_221_0'>\n\t\t\t\t<input name='input_221' type='radio' value='Recreational'  id='choice_40_221_0'    \/>\n\t\t\t\t<label for='choice_40_221_0' id='label_40_221_0'>Recreational<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_40_221_1'>\n\t\t\t\t<input name='input_221' type='radio' value='Commercial'  id='choice_40_221_1'    \/>\n\t\t\t\t<label for='choice_40_221_1' id='label_40_221_1'>Commercial<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_199\"  class=\"gfield vessel-renewal gfield_price gfield_price_40_199 gfield_product_40_199 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_199\"><label class='gfield_label'  >USCG RENEWAL DOCUMENTATION ADVANCED PAYMENT OPTION<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_40_199'>\n\t\t\t<li class='gchoice gchoice_40_199_0'>\n\t\t\t\t<input name='input_199' type='radio' value='No Additional Years|0'  id='choice_40_199_0'    \/>\n\t\t\t\t<label for='choice_40_199_0' id='label_40_199_0'>No Additional Years<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_40_199_1'>\n\t\t\t\t<input name='input_199' type='radio' value='1 year renewal (additional $84.00)|84'  id='choice_40_199_1'    \/>\n\t\t\t\t<label for='choice_40_199_1' id='label_40_199_1'>1 year renewal (additional $84.00)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_40_199_2'>\n\t\t\t\t<input name='input_199' type='radio' value='2 year renewal (additional $168.00)|168'  id='choice_40_199_2'    \/>\n\t\t\t\t<label for='choice_40_199_2' id='label_40_199_2'>2 year renewal (additional $168.00)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_40_199_3'>\n\t\t\t\t<input name='input_199' type='radio' value='3 year renewal (additional $252.00)|252'  id='choice_40_199_3'    \/>\n\t\t\t\t<label for='choice_40_199_3' id='label_40_199_3'>3 year renewal (additional $252.00)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_40_199_4'>\n\t\t\t\t<input name='input_199' type='radio' value='4 year renewal (additional $336.00)|336'  id='choice_40_199_4'    \/>\n\t\t\t\t<label for='choice_40_199_4' id='label_40_199_4'>4 year renewal (additional $336.00)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_40_199_5'>\n\t\t\t\t<input name='input_199' type='radio' value='5 year renewal (additional $420.00)|420'  id='choice_40_199_5'    \/>\n\t\t\t\t<label for='choice_40_199_5' id='label_40_199_5'>5 year renewal (additional $420.00)<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_222\"  class=\"gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_222\">NOTE: The NVDC issues a Certificate of Documentation (COD) for commercial vessels with a one-year validity period. If you purchase the Multi-Year Renewal option, you will receive a new certificate each year during your expiration month, for the number of years purchased, sent to the address on file. A single certificate covering the entire renewal period will not be provided.<br><\/li><li id=\"field_40_186\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_186\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_40_102\"  class=\"gfield gfield_price gfield_price_40_ gfield_total gfield_total_40_ field_sublabel_below field_description_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" data-js-reload=\"field_40_102\"><label class='gfield_label' for='input_40_102' >Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<span class='ginput_total ginput_total_40'>$0.00<\/span>\n\t\t\t\t\t\t\t<input type='hidden' name='input_102' id='input_40_102' class='gform_hidden'\/>\n\t\t\t\t\t\t<\/div><\/li><li id=\"field_40_89\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_89\"><label class='gfield_label gfield_label_before_complex'  >Authorization<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_40_89'><li class='gchoice gchoice_40_89_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.1' type='checkbox'  value='[payment-authorization-message]'  id='choice_40_89_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_89_1' id='label_40_89_1'>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. I understand that application and processing fees are non-refundable as per 46 CFR 67.500(e). By clicking the submit button you are agreeing to our terms and conditions. I understand that submitting another application for vessel documentation will supersede the current\/pending application for that vessel.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_172\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_172\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_40_229\"  class=\"gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible gfield--type-stripe_creditcard-card\"  data-js-reload=\"field_40_229\"><label class='gfield_label gfield_label_before_complex gform-field-label' for='input_40_229_1' >Credit Card<\/label><div class='ginput_complex ginput_container ginput_container_creditcard ginput_stripe_creditcard gform-grid-row' id='input_40_229'><div class='ginput_full gform-grid-col' id='input_40_229_1_container' data-payment-element='false'><div id='input_40_229_1' class='gform-theme-field-control StripeElement--card'><\/div><label for='input_40_229_1' id='input_40_229_1_label' class='gform-field-label gform-field-label--type-sub'>Card Details<\/label><\/div><!-- .ginput_full --><div class='ginput_full gform-grid-col' id='input_40_229_5_container'>\r\n\t\t\t\t\t<input type='text' name='input_229.5' id='input_40_229_5' value=''>\r\n\t\t\t\t\t<label for='input_40_229_5' id='input_40_229_5_label' class='gform-field-label gform-field-label--type-sub'>Cardholder Name<\/label>\r\n\t\t\t\t<\/div><\/div><!-- .ginput_container -->\r\n\t\t\t<style type=\"text\/css\">\r\n\t\t\t\t:root {\r\n  \t\t\t\t\t--link-login-string: \"Link login\"\r\n\t\t\t\t}\r\n\t\t\t<\/style><\/li><li id=\"field_40_185\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_185\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_40_96\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_96\"><label class='gfield_label gfield_label_before_complex'  >Having Trouble? Check this box to move forward without your Credit Card<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_40_96'><li class='gchoice gchoice_40_96_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_96.1' type='checkbox'  value='*My card information is not working; I would like to continue my submission and receive a call from a specialist regarding payment'  id='choice_40_96_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_40_96_1' id='label_40_96_1'>*My card information is not working; I would like to continue my submission and receive a call from a specialist regarding payment<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_40_97\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_97\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_40_98\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_40_98\"><label class='gfield_label gfield_label_before_complex'  >YOUR BILLING ADDRESS<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address' id='input_40_98' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1' id='input_40_98_1_container' >\n                                        <input type='text' name='input_98.1' id='input_40_98_1' value=''    aria-required='true'    \/>\n                                        <label for='input_40_98_1' id='input_40_98_1_label' >Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2' id='input_40_98_2_container' >\n                                        <input type='text' name='input_98.2' id='input_40_98_2' value=''     aria-required='false'   \/>\n                                        <label for='input_40_98_2' id='input_40_98_2_label' >Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city' id='input_40_98_3_container' >\n                                    <input type='text' name='input_98.3' id='input_40_98_3' value=''    aria-required='true'    \/>\n                                    <label for='input_40_98_3' id='input_40_98_3_label' >City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state' id='input_40_98_4_container' >\n                                        <input type='text' name='input_98.4' id='input_40_98_4' value=''      aria-required='true'    \/>\n                                        <label for='input_40_98_4' id='input_40_98_4_label' >State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip' id='input_40_98_5_container' >\n                                    <input type='text' name='input_98.5' id='input_40_98_5' value=''    aria-required='true'    \/>\n                                    <label for='input_40_98_5' id='input_40_98_5_label' >ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country' id='input_40_98_6_container' >\n                                        <select name='input_98.6' id='input_40_98_6'   aria-required='true'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option 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