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Fillable Printable Form ELT-2 - Application for Electronic Lien Transfer Program - New York

Fillable Printable Form ELT-2 - Application for Electronic Lien Transfer Program - New York

Form ELT-2 - Application for Electronic Lien Transfer Program - New York

Form ELT-2 - Application for Electronic Lien Transfer Program - New York

www.dmv.ny.gov
ã Approximate annual NY lien filing volume: _______________________
ã Please provide name, address, phone number, fax number and e-mail address of ELT vendor you
will be using: ____________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
ã List all lienholder codes currently assigned to your company by NYS DMV:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
ã Select one of the codes you’ve listed above to be your primary code for ELT.
Selected Primary Code: _________________________
APPLICATION FOR ELECTRONIC LIEN TRANSFER PROGRAM
Division of Document Production Room 333
6 Empire State Plaza
Albany, NY 12228
Lending Institution:
Full Name
Street Address
Mailing Address
City
City
State
State
Zip
Zip
Administrative Contact:
Name/Title
Telephone Number (Area Code)
( )
Fax Number (Area Code)
( )
E-Mail Address
Technical Contact:
Name/Title
Telephone Number (Area Code)
( )
Fax Number (Area Code)
( )
E-Mail Address
ELT-2 (7/15)
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