Fillable Printable Form MV-82SN - Snowmobile Registration Application - New York

Form MV-82SN - Snowmobile Registration Application - New York

If the snowmobile already has a valid NY registration, make sure the NY registration number is correctly entered in section below.

OFFICE

USE

ONLY

New York State Department of Motor Vehicles

SNOWMOBILE REGISTRATION APPLICATION

3 of

Name

New Reg.

Number

SPECIAL

CONDITIONS:

Registration

Number

NF OV PA SV XR

If you are registering this snowmobile for someone who does not live in NY, and the snowmobile is already registered in the customer’s home jurisdiction,

DO NOT ASSIGN A REGISTRATION DECAL. Motor Vehicles office staff will assign a registration number when the application is processed. Snowmobiles

registered in another jurisdiction are required to display the numbers assigned by the home jurisdiction on the snowmobile’s cowling.

COMPLETE SECTIONS

and . COMPLETE SECTION ONLY IF NECESSARY.

1 2 3 5

INSTRUCTIONS è

Pool

Plate

Sales Tax

Information

Status Value

($)

Jurisdiction Rate Out of State Audit

CHANGE information on registration o REPLACE a registration: o Document o Stickers

WHAT DO YOU WANT TO DO?

Is this snowmobile already registered in NY? o Yes o No

If “YES”, enter NY Registration No.

SNOWMOBILE IDENTIFICATION NUMBER

YEAR MAKE

o Pleasure o Dealer o Rental o Commercial o Government o Emergency

NYS COUNTY OF PRIMARY USE

USECOLOR

CC OR HP

If a registration decal is issued, write the decal registration number in this box:

Please copy the decal number carefully. Errors will delay processing of the application.

Date of Sale Date Sent to DMV Office

Dealer Name

Date Temp. Reg. Issued

Dealer Facility Number

THIS SECTION MUST BE COMPLETED ONLY BY A REGISTERED NEW YORK STATE SNOWMOBILE DEALER

www.dmv.ny.gov

PLEASE PRINT CLEARLY

IN BLUE OR BLACK INK.

Area Code

( )

How was the

snowmobile

obtained?

oNew o Leased New

oUsed o Leased Used

NAME CHANGE?

o YES (see box )

o NO

ADDRESS CHANGE?

o YES

o NO

Is this registration for a corporation

or partnership?

o Yes o No

NAME OF PRIMARY REGISTRANT (Last, First, Middle)

PRIMARY CLIENT ID NO. (

from NYS License)

PRIMARY REGISTRANT ADDRESS WHERE YOU GET YOUR MAIL

DAY PHONE NO. (Optional)

Month Day Year

Apt. No. City or Town State Zip Code County of Residence

Apt. No. City or Town State Zip Code

PRIMARY REGISTRANT ADDRESS WHERE YOU LIVE

(IF DIFFERENT FROM MAILING ADDRESS. DO NOT GIVE P.O. BOX.)

(Include Street Number and Name, Rural Delivery and/or box number. This address will appear on the document.)

M F

NAME OF CO-REGISTRANT (Last, First, Middle)

CO-REGISTRANT CLIENT ID NO. (

from NYS License)

SEX

DATE OF BIRTH

Month Day Year

M F

SEX

DATE OF BIRTH

MV-82SN (12/11)

PAGE 1 OF 2

Prior

Owner

Old

Owner

Proof Submitted (Name and Ownership)

Name: Ownership:

Stop/Response

Operator SignatureApproved by: Date:

o Driver License o Other:__________________________________________ o MCO o Registration o Bill of Sale o Other:___________________________

FOR OFFICE USE ONLY

Batch (File No.)

o Original o Activity o Renewal o Duplicate

DEALER ONLY: Please mail or deliver this completed application and required paperwork, to any DMV office for processing. If you are issuing a

Temporary Certificate of Registration (MV-53), this must be done within 5 days.

IMPORTANT: Making a false statement in any registration application or in any proof or statements in connection with it, or deceiving or substituting in

connection with this application, is a misdemeanor under Section 392 of the Vehicle and Traffic Law, and may also result in the revocation or

suspension of the registration pursuant to regulations established by the Commissioner. The Department makes no representation that it will issue a

transferable registration until all documentation required to establish ownership of the snowmobile is submitted and deemed to be satisfactory. Pending

review of this application, neither the Commissioner of the Department of Motor Vehicles nor any of his or her employees, deputies or agents assumes

any liability or responsibility for repairs performed, improvements made or work done to the snowmobile referenced in this application.

PLEASE COMPLETE ALL SECTIONS BELOW THAT APPLY TO YOU, THEN READ AND SIGN THE CERTIFICATION IN .

TO CHANGE information on your current snowmobile registration:

For a change of name, print your former name

exactly as it appears on the registration you now

have.

For a change other than name, tell us what the

change is, and the reason for the change

MV-82SN (12/11)

(Sign Name in Full - Additional signature required for a partnership or if registering this vehicle in more than one name.)

(Print Name in Full - if registering for a corporation, print your full name and title)

Additional Signature Sign Here ç

Print Name Here ç

(Sign Name in Full)

Sign Here ç

(Cardholder-Sign Name in Full)

(Print Name of New York State Snowmobile Club)

Sign

Here

Sign

Here

PAGE 2 OF 2

DEALER CERTIFICATION – I certify that all information provided on this application is true. I take responsibility for the integrity of the papers delivered to

the Department of Motor Vehicles.

Signature of Dealer or Authorized Representative

Print Dealer Name

Snowmobile

was sold by

DEALER TRANSFER INFORMATION – Please complete the information below. For new snowmobiles, attach a Manufacturer’s Statement or Certificate

of Origin (MSO or MCO) and a bill of sale. For used snowmobiles, attach a signed title or transferable registration, along with bills of sale for any

subsequent transfers of ownership.

Name

Address

Dealership Name

Address of your Dealership

Facility No. Date of Sale

Date of Purchase From Previous Owner

TO BE COMPLETED ONLY BY A REGISTERED NEW YORK STATE SNOWMOBILE DEALER

The information I have given on this application is true to the best of my knowledge. I certify that the snowmobile is fully equipped as required by the Vehicle

and Traffic Law. If I am applying for replacement registration items, I certify that the registration is not currently under suspension or revocation. If I am using

a credit card for payment of any fees in connection with this application, I understand that my signature below also authorizes use of my credit card.

Certification:

Snowmobile Club Member Certification:

Credit Card Authorization if Cardholder is not the Applicant:

My signature authorizes ______________________________________ to

use my credit card for payment of any fees in connection with this

application, and I understand that I must be present for this transaction.

My signature authorizes the New York State Department of Motor Vehicles to use my personal information (name, address, and registration number)

to verify my membership in a snowmobile club that is a member of the New York State Snowmobile Association.

I certify that I am a member, in good standing, of

Snowmobile was

obtained from