Form Center

2. First Name*
3. Middle Initial*
4. Last Name*
6. Address1*
7. Address2
9. City*
10. State*
11. Zip*
13. Phone Number*
14. Cell Phone #
15. Email Address*
17. (The Owner of record must provide the County Appraiser documentation on or before December 20th of the same year of "Acquisition" or "Sale" before the value can be prorated for the number of months the watercraft is owned. K.S.A. 79-306e)
19. File Upload
    Upload a Bill-Of-Sale or Pictures of your watercraft
21. Name & Address of person you purchased the watercraft from:*
23. Date Boat was brought into Butler County:*
24. Address &/or Facility Name where the watercraft will be stored:*
28. WATERCRAFT INFORMATION
30. KA#*
31. Type of Boat*
    -- Select One --CanoeHouseboatJet DriveJet SkiOutboardPontoonSail BoardSail BoatScampStern Drive-Inboard/Outboard
32. Keel Type
    -- Select One --FinWingShoal
34. Hull Material*
    -- Select One --AluminumFiberglassPlasticWood
35. Hull #*
36. Year*
37. Length*
39. Make*
40. Model
41. Date of Purchase*
43. Purchased as a Package*
    -- Select One --YesNo
44. Purchase Price of the Package
45. Purchase Price of Boat
49. ENGINE INFORMATION
50. Engine*
    -- Select One --YesNo
51. # of Engines
    -- Select One --12
53. Type of Engine
    -- Select One --ElectricGasRecoil
54. Horsepower/CC (ea)
55. Year
56. Make
58. Model
59. Date of Purchase*
60. Purchase Price of Engine*
64. TROLLING MOTOR INFORMATION
65. Trolling Motor
    -- Select One --YesNo
67. # of Trolling Motors
    -- Select One --12None
68. Year
69. Make
70. Thrust Size
72. Purchase Price of Trolling Motor
73. Type

    1. Transom Mount

    1. Foot Control
77. TRAILER INFORMATION
78. Trailer*
    -- Select One --YesNo
79. Jetski Trailer
    -- Select One --Single CraftDouble CraftQuad Craft
81. Year
82. Make
83. Model
84. Length
86. # of Axles
87. Brakes
    -- Select One --YesNo
88. VIN #
90. Date of Purchase*
91. Purchase Price of Trailer*
Leave This Blank:


93. 1. Receive an email copy of this form.
94. Email address

    This field is not part of the form submission.

95. Submit Submit and Print

* indicates a required field