MANUFACTURER'S DECLARATION OF ORIGIN

The manufacturer further certifies that this was the fi rst transfer of said new boat in ordinary trade and commerce,
and that all information given herein is true and accurate to the best of its knowledge.

NAME OF MANUFACTURER AUTHORIZED BY

ETS Media LLC

809 W Hill ST STE C
Charlotte, NC, 28208 Evan Sutker, President

BOAT DESCRIPTION
SERIAL NUMBER: Sold in the State/ Province of ............................................................................

MODEL YEAR: The undersigned manufacturer hereby certifies that the new boat described

MODEL NAME: below, the property of said manufacturer, has been transferred on this

LENGTH: ............................................... day of ............................................. , .................

on invoice number...............................................................................................
DEALER NAME: to ........................................................................................................................
ADDRESS:

CITY:

STATE/PROVINCE:

ZIP/POSTAL CODE: