Mortgage – National Vessel Registry Center

APPLICATION FOR MORTGAGE OF A VESSEL

Step 1 of 2

Official number (if assigned)
Confirm Official number (if assigned)
Name of vessel (if assigned)
Port of registry
Name(s) and address(es) of registered owner(s)/mortgagor(s)
Description of the nature of consideration (enter the principal sum or state that there is a line of credit, give details of the interest and method of payment or refer to a collateral agreement and give the date the agreement was executed)
Name(s) and address(es) of mortgagee(s)
I/We, the mortgagor(s) in consideration of the above now covenant with the mortgagee(s) to pay to the mortgagee(s) the sums for the time being due on this security, whether by way of principal or interest, at the times and in the manner set out. For the purpose of better securing payment to the mortgagee(s), the mortgagor(s) hereby mortgage to the mortgagee(s)
shares (number of shares must be indicated) of which the mortgagor(s) are the owner(s) in the vessel described above, and its boats and appurtenances. Further, the mortgagor(s) covenant with the mortgagee(s) that the mortgagor(s) have the power to mortgage the shares and that they are free of encumbrance(s) except as appear on the register of the vessel. (delete if not applicable)
INDIVIDUAL
I/We, the mortgagee(s) authorize the mortgage described above. (click below to add multiple signatures of mortgagees)
Signature of mortgagor
Date Mortgage signed
YYYY dash MM dash DD
1 - CORPORATION
I
state that I have authority to bind
I also state that
is the name of a corporation which legally exists at the date of this Mortgage
- as per the laws of Canada; OR
- as per the laws of (province/state)
Name of province/state
This Mortgage must be signed by any Officer or Director of the corporation who has the authority to bind the corporation. Pursuant to Sections 51(2) and 75.01(2) of the Canada Shipping Act, 2001 applicants may be required to provide additional information as requested by the Chief Registrar.

I understand that it is an offence for a person to knowingly make a false or misleading statement in writing and that the penalty can be a fine or imprisonment or both if found guilty in a court of law ( Section 37 of the Canada Shipping Act, 2001).
Signature of Officer of Director
Date Discharge of Mortgage signed
YYYY dash MM dash DD
2 - CORPORATION
I
state that I have authority to bind
I also state that
is the name of a corporation which legally exists at the date of this Mortgage
- as per the laws of Canada; OR
- as per the laws of (province/state)
Name of province/state
This Mortgage must be signed by any Officer or Director of the corporation who has the authority to bind the corporation. Pursuant to Sections 51(2) and 75.01(2) of the Canada Shipping Act, 2001 applicants may be required to provide additional information as requested by the Chief Registrar.

I understand that it is an offence for a person to knowingly make a false or misleading statement in writing and that the penalty can be a fine or imprisonment or both if found guilty in a court of law ( Section 37 of the Canada Shipping Act, 2001).
Signature of Officer of Director
Date Discharge of Mortgage signed
YYYY dash MM dash DD
INDIAN BAND
Name of Indian Band
Signature
Name of person signing above
Date Discharge of Mortgage signed
YYYY dash MM dash DD

Contact Information
First Name*
Last Name*
Telephone Number*
Facsimile Number
Email*
Enter Email Confirm Email
APPLICATION FOR MORTGAGE OF A VESSEL
Price:
APPLICATION FOR MORTGAGE OF A VESSEL
Price:
Please select any additional services you wish to have processed
- Priority Request/Rush Processing
- Certified Transcript
- Uncertified Transcript
Priority Request/Rush Processing
Price:
Certified Transcript
Price:
Uncertified Transcript
Price:
Total
$ 0.00 CAD
Authorization*
- 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 Transport Canada documents. I understand that my application will be processed in the order in which it is received by National Vessel Registry Center Corp, a third-party fee for service company. I understand that application and processing fees are non-refundable as per National Vessel Registry Center Corp's no refund policy. I understand that submitting another application for vessel documentation will supersede the current/pending application for that vessel.
Payment Information

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Billing Address
Address*
Street Address Address Line 2 City ZIP / Postal Code (required for Canadian [A1A 1A1] and US [#####] only)
State/Province/Region*
Other*
Country*
- Is your shipping address different from the one above?
Shipping Address
Address*
Street Address Address Line 2 City ZIP / Postal Code (required for Canadian [A1A 1A1] and US [#####] only)
State/Province/Region*
Other*
Country*
By clicking submit you agree to these Terms and Conditions and the above authorization of payment.

APPLICATION FOR MORTGAGE OF A VESSEL

Step 1 of 2

INDIVIDUAL

1 - CORPORATION

2 - CORPORATION

INDIAN BAND

Contact Information

Billing Address

Shipping Address