Change Of Name/Hailing Port (CG-1258)

NOTE: FILING THIS APPLICATION DOES NOT ENTITLE A VESSEL TO DOCUMENTATION OR TO ANY CHANGES SOUGHT 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.

PURPOSE OF APPLICATION

Check applicable blocks to show purpose of application.

1. Change of Vessel Name
2. Change of Vessel Hailing Port

DOES THIS VESSEL HAVE ANY ACTIVE LIENS OR MORTGAGES*

No, this vessel does not have an active lien or mortgage
Yes, this vessel has an active lien or mortgage
I am unsure (Please process an Abstract of Title)

PERMISSION FROM LIENHOLDER/MORTGAGOR

I have written permission from the Lienholder/Mortgagor and can upload it now (Document Upload)
I do not have written permission from the Lienholder/Mortgagor at this moment.

Lienholder/Mortgagor Permission Documents

Max. file size: 512 MB.

Vessel Identification Information*

OFFICIAL # HULL ID #

Insert the Official Number (O/N) awarded by the Coast Guard. Insert International Maritime Organization Number (IMO), if any. Insert Hull Identification Number (HIN) as assigned in accordance with 33 CFR 81.

Managing Owner Information*

Name Phone Number Email

MANAGING OWNER SSN/TIN

(REQUIRED – 46 USC 12104) SSN or TIN IS REQUIRED. Only an owner or part owner can be the managing owner. For vessels owned by a corporation the corporation is the managing owner. For a trust arrangement, the trustee is the managing owner. For a Partnership or a LLC, the name of the Partnership or the LLC should be shown.

Enter Social Security Number
Enter Tax ID Number

SSN*

TIN

MAILING ADDRESS OF MANAGING OWNER (IF DIFFERENT THAN PHYSICAL ADDRESS – E.G., P.O. BOX)

Same as physical address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

ARE THERE ADDITIONAL OWNERS?

YES
NO

NAME(S) OF OTHER OWNER(S)

All persons/entities (other than managing owner) who own an interest in the vessel. If no owners other than the managing owner, leave blank. Click icon for attachment if application covers multiple owners.

SSN/TIN OF ADDITIONAL OWNER(S) (ADDITIONAL SSNs ARE NOT REQUIRED FOR LLCs)

ENTER SSN(S)
ENTER TIN(S)

SSN(S)

TIN(S)

VESSEL NAME WHEN LAST DOCUMENTED:

PHYSICAL ADDRESS OF MANAGING OWNER (REQUIRED – 46 CFR 67.113)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

ENDORSEMENTS FOR WHICH APPLICATION IS MADE

Check the appropriate block(s) to indicate all endorsement(s) sought on this application.

RECREATIONAL - A recreational endorsement entitles a vessel to pleasure use only.
FISHERY - A fishery endorsement entitles a vessel to employment in the fisheries as defined in § 67.3, subject to Federal and State laws regulating the fisheries, and in any other employment for which a registry, coastwise, or Great Lakes endorsement is not required. A fishery endorsement entitles a vessel to land its catch, wherever caught, in the United States.
COASTWISE - A coastwise endorsement entitles a vessel to employment in unrestricted coastwise trade, dredging, towing, and any other employment for which a registry, fishery, or Great Lakes endorsement is not required.
REGISTRY - A registry endorsement entitles a vessel to employment in the foreign trade; trade with Guam, American Samoa, Wake, Midway, or Kingman Reef; and any other employment for which a coastwise, Great Lakes, or fishery endorsement is not required.
COASTWISE – BOWATERS ONLY (CERTIFICATE ON FILE)
COASTWISE – OIL SPILL RESPONSE ONLY (LETTER OF QUALIFICATION ON FILE)
COASTWISE UNDER CHARTER TO AN ENTITY QUALIFIED TO ENGAGE IN COASTWISE TRADE (COPY OF CHARTER ON FILE)

PRIMARY SERVICE

TOTAL ENGINE HORSEPOWER*

PRIVACY ACT STATEMENT