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Fillable Printable Form MV-463 - Application for Dealer Plate Issuance Program - New York

Fillable Printable Form MV-463 - Application for Dealer Plate Issuance Program - New York

Form MV-463 - Application for Dealer Plate Issuance Program - New York

Form MV-463 - Application for Dealer Plate Issuance Program - New York

DMV OFFICE USE ONLY
REG. CLASS LIMIT
PAS ____________
MCY ____________
COM ____________
TRL ____________
ATV ____________
IN-TRANSIT PERMITS ________
New York State Department of Motor Vehicles
APPLICATION FOR DEALER PLATE
ISSUANCE PROGRAM
SEE PAGE 2 FOR INSTRUCTIONS
ON HOW TO FILL OUT THIS APPLICATION
This program is restricted to dealers who meet the eligibility requirements set forth in Commissioner’s Regulations Part 78 section
78.23(a), and the Dealer Plate Issuance Manual (MV-461) section 1.2.
(Print or Type all information)
1. Facility Identification Number
3. Contact Person
2. Dealer E-mail Address
5. Business Name As It Appears on Your Official Business Certificate
6. Business Address - Street City
State County
Zip Code
7. What type of security will you use in storing plates and in-transit permits? (Security for plates and in-transit permits is subject to DMV inspection and approval.)
o Locked Safe o Locked Room o Other ______________________________________________________________
8. How many vehicles and trailers did you sell at retail last year?
(a) Passenger (b) Commercial (c) Motorcycle (d) Trailer (e) ATV
Original ______________ Original ______________ Original ______________ Original ______________ Original ______________
9. Registration plates/in-transit permits are requested
for the following registration classes:
o Passenger o Commercial o Motorcycle o Trailer o ATV o In-Transit Permit
Plates and permits issued under this program can be issued only for vehicles and trailers that are sold at retail.
4. Telephone Numbers (Required)
Business ( ) Emergency ( )
Fax ( )
(Print or Type Name of Officer of Corporation or Owner)
(Print or Type Title)
-
(Signature of Officer of Corporation or Owner) (Date of Application)
FALSE STATEMENTS MADE ON THIS APPLICATION ARE SUBJECT
TO SECTION 210.45 OF THE PENAL LAW.
RETURN THIS APPLICATION TO:
VIA MAIL
New York State Department of Motor Vehicles
Dealer Plate Issuance Unit
PO Box 2820
Albany NY 12220-0820
VIA CERTIFIED OR OVERNIGHT DELIVERY
New York State Department of Motor Vehicles
Dealer Plate Issuance Unit
6 Empire State Plaza Rm 322
Albany NY 12228
MV-463 (9/14)
PAGE 1 OF 2www.dmv.ny.gov
CERTIFICATION:
I certify that I have read, and will abide by, the statutes of the Vehicle and Traffic Law, the Commissioners Regulations and
procedures outlined in the Dealer Plate Issuance Manual (MV-461), and, if applicable, the All-Terrain Vehicle Dealer
Registration Instructions (RV-2), governing the Dealer Plate Issuance Program. I understand that any violation of the statute,
Commissioners Regulations or procedures may result in the withdrawal of my authorization to participate in the Dealer Plate
Issuance Program, and/or suspension or revocation of my dealer registration or the imposition of a civil penalty.
I further certify that all the information I have provided on this form is true and accurate to the best of my belief.
MV-463 (9/14)
HOW TO FILL OUT THE APPLICATION
1. Facility Identification Number
Provide the facility identification number printed above your name and address on your official business certificate,
Form MV-61P.
2. Dealer E-mail Address
Provide the e-mail address for your dealership that can receive communications from DMV via the Internet.
3. Contact Person
Provide the name of a person who can be contacted during and outside of your business hours.
4. Telephone/Fax Numbers
l
Provide a telephone number where you can be reached during business hours. (Required)
l Provide an emergency telephone number where you can be contacted outside your business hours. (Required)
l Provide a fax number, if available.
5. Business Name
Provide the business name as it appears on your official business certificate.
6. Business Address
Provide your business address as it appears on your official business certificate.
7. Secure Storage for Plates and In-Transit Permits
Specify the type of security you will use to store plates and in-transit permits. If you check “Other”, you must identify
type of facility or device. For example, if you will not store plates in a locked safe or a locked room, but will store
them in a locked cabinet, check “Other”, and write “locked cabinet” next to “Other”.
8. Plate Limit
For the last calendar year, list the total original retail sales for the classes of vehicles and trailers shown.
9. Registration Class
Identify the registration class(es) for which you are requesting registration plates and/or in-transit permits.
Signature Line
l Print or type the name of the corporate officer or the owner.
l Provide the signature of the corporate officer or the owner.
l
Print or type the title of the corporate officer or the owner.
l Fill-in the date the application is signed.
PAGE 2 OF 2
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