MANUFACTURER'S CERTIFICATE OF ORIGIN FOR A BOAT

DESCRIPTION OF BOAT

Hull ID: XEE-00852a505

Trade Name: INTEX Model Name: Excursion 5

Hull Material: PVC (Polyvinyl Chloride) Type of Boat: Inflatable Boat

Propulsion: Manual/Horsepower Fuel: Gasoline/Other

Length (L): 144" (366cm) Beam (W): 66" (168cm) Draft (H): 17" (43cm)

U.S. Coast Guard Capacity Plate Information (where applicable):

Maximum Horsepower Rating: 1.5 HP

Maximum Persons Capacity in Whole Persons: 5

Maximum Weight Capacity (persons, motor, gear, etc): 1300 LBS

Place of Construction: People's Republic of China

The manufacturer further certifies that this was the first transfer of such new boat, and that all
information given herein is true and accurate to the best of his knowledge.

Company Name: Intex Recreation Corp.

Street Address: 4001 Via Oro Ave., Suite 210

City, State, Zip: Long Beach CA 90810

ASSISTANT GENERAL MANAGER

Manufacturer's Certification Authorized Signature Title Or Position
 FIRST ASSIGNMENT

For Value Received, the undersigned hereby transfers this Statement of Origin and the boat described therein to:

Name:

Address:

and certifies that the boat is new and has not been registered in this or any other state; he also warrants the
title of said boat at time of delivery, subject to the liens and encumbrances, if any, as set below:

Amount of Lien Date To Whom Due Address

Dated , 20 at .

Transferer (Firm Name) Sign Here Position

SECOND ASSIGNMENT

For Value Received, the undersigned hereby transfers this Statement of Origin and the boat described therein to:

Name:

Address:

and certifies that the boat is new and has not been registered in this or any other state; he also warrants the
title of said boat at time of delivery, subject to the liens and encumbrances, if any, as set below:

Amount of Lien Date To Whom Due Address

Dated , 20 at .

Transferer (Firm Name) Sign Here Position