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WATERCRAFT APPLICATION PHONE (A/C, No, Ext): FAX (A/C, No): AGENCY DATE (MM/DD/YYY) APPLICANT'S NAME AND MAILING ADDRESS (Include county & ZIP+4) NAIL CODE POLICY NUMBER CO/PLAN HOME PHONE # DAY E-MAIL
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If there are multiple items or entities that need to be reported, the form should be filled out for each one separately.
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Each item should be reported separately on the form, providing all necessary information for each one.
The purpose is to ensure that each item or entity is properly reported and accounted for.
All relevant information pertaining to each item or entity must be reported, as specified in the form.
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