CG-1258 Attachment CG-1258 Application for Initial Issue, Exchange, or Repl

DEPARTMENT OF HOMELAND SECURITY

U.S. Coast Guard
APPLICATION FOR INITIAL ISSUE, EXCHANGE, OR REPLACEMENT OF CERTIFICATE OF
DOCUMENTATION; REDOCUMENTATION
SECTION L – ATTACHMENT TO TRUST ARRANGEMENT
OFFICIAL NUMBER (IF AWARDED)

HULL IDENTIFICATION NUMBER (IF ANY)

TRUSTEE’S/BENEFICIARY’S NAME

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TRUSTEE’S/BENEFICIARY’S NAME

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TRUSTEE’S/BENEFICIARY’S NAME

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TRUSTEE’S/BENEFICIARY’S NAME

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TRUSTEE’S/BENEFICIARY’S NAME

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TRUSTEE’S/BENEFICIARY’S NAME

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TRUSTEE’S/BENEFICIARY’S NAME

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TRUSTEE’S/BENEFICIARY’S NAME

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TRUSTEE’S/BENEFICIARY’S NAME

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CG-1258 (04/12)

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