Information Work Sheet

Supply Vessels

NOTICE: The information provided here does not obligate or bind the owner (seller) and Ocean Marine Brokerage Services, Inc. in any way.

Name of Vessel_______________________Type____________________________________

LOA__________ Doc Length______ Beam________ Draft__________ Depth ___________

Draft (light)______________ loaded_____________ Official No_________________________

YearBuilt _______ Builder_______________________________________

Hull Construction_______________________ Decks/Superstructure__________________ Clear Deck_________________

Gross Tons___________ Net Tons______________ Deadweight ___________

Cubic Cargo_______________ Grain_______________ Bail___________

No. Holds__________ Dimension of Holds ____________ Winches ________________

Flag__________ U.S. Certified_________Route___________________________________

Expiration date____________ No. Passengers____________

ABS/CLASS _______________ Expiration date___________

Types of:

Bow Thruster___________ Tow Winch__________ Anchor Winch _________

Stern Roller____________ Clear Deck__________ Certified Tons_________

No. Engines_________ Make of Engines_________________________________________

H.P.___________ Year ReBuilt_________ Overhauled/hours______________

ReductionGear____________Make/Model____________________________

Year Rebuilt____________ Diameter of Screw_________ Shaft __________

Variable pitch___________ Speed_________ Fuel Consumption___________

Fuel Capacity__________________ Water Capacity_____________ Lube________________

Ballast Water________________ Dot Tanks______________ Drill Mud Tank s____________

Calcium Chloride____________ Bulk Storage_________________________

Pumps: Ballast Water_____________Metered Fuel___________ Drill Mud ______________

 

No. Aux______ Make Auxilliary Engine____________________________ KW _______

Make Auxilliary Engine____________________________ KW _______ Fire Pump______

Mud Pump__________ Other Aux_______________________________________________

Accommodations:

Berths: Crew_______ Staterooms_____________Heads__________Showers______

Galley_____________________ Air/heat___________ Passenger Accom: _______________

Other________________________________________________________

Electronics:

Radios_____________________________ Autopilot______________ Plotter_____________

Sat/Nav-GPS_________________ Depth Finders ____________________________________

Loran_______________ Radar__________________________ Gyro ____________________

Other________________________________________________________________________

Steering____________________________________ Auxilary Steering__________________

Other equipment_______________________________________________________________

_____________________________________________________________________________

Survey_____________ Date__________ Last Haulout________________________________

Reason______________________________________________________________________

Recent Improvements_____________________________________________________________________________________

Remarks:________________________________________________________________________________________________

_________________________________________________________________________________________________________

Asking Price_________________ Will Finance _______________________

Terms__________________________________ Will Charter___________

Bank Note With________________________________________________

Assumable Mortgage_____________________________________________

OWNERS INFORMATION:

NAME________________________________________________________

Address______________________________________________________

City_______________________State___________ Zip _______________

Country_______________

Phones________________ ____________________

FAX__________________ EMail _________________________

Vessels Official #________________________ Home Port_____________________________

Vessels Location______________________________________________________________