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Fillable Printable Form MV-454 - Affirmation for Renewal/Lost Registration for Absentee Owner - New York

Fillable Printable Form MV-454 - Affirmation for Renewal/Lost Registration for Absentee Owner - New York

Form MV-454 - Affirmation for Renewal/Lost Registration for Absentee Owner - New York

Form MV-454 - Affirmation for Renewal/Lost Registration for Absentee Owner - New York

New York State Department of Motor Vehicles
AFFIRMATION FOR RENEWAL/LOST
REGISTRATION FOR ABSENTEE OWNER
I affirm that I am the __________________________ of _______________________________________________ ,
who is the registrant of the vehicle bearing New York State Plate number ___________________________________.
The registration is expiring _________________________.
The registrant is in the military service of the United States of America and has given me permission to use the
above-mentioned vehicle during his/her absence.
The registrant cannot be reached to sign the renewal application.
Complete statement below if it applies to this vehicle.
The
license plate certificate of registration for the vehicle has been lost, and the registrant
cannot be reached to sign the statement reporting such loss.
(Relation to Registrant)
(Print Name in Full)
(Signature - Sign Name in Full)
(Name of Registrant)
/ /
IMPORTANT: FALSE STATEMENTS ARE PUNISHABLE
UNDER SECTION 210.45 OF THE PENAL LAW
MV-454 (10/07)
www.nysdmv.com
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