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Fillable Printable Form MV-95 - Registration Authorization - New York

Fillable Printable Form MV-95 - Registration Authorization - New York

Form MV-95 - Registration Authorization - New York

Form MV-95 - Registration Authorization - New York

FOR OFFICE USE ONLY
Proof of ID and Ownership Provided
Reg./Title No. ________________________________________________________ State______________________________
REGISTRATION AUTHORIZATION
Vehicle Owner’s
Name
Address
City and
State
Date of Birth
/ /
Date of Birth
/ /
ZIP
Code
Apt. #
Registrant’s
Name
Vehicle
Make
Vehicle ID #
(VIN)
Reviewed By
MV-95 (10/15)
www.dmv.ny.gov
Date
/ /
Year Is the vehicle leased?
o Yes o No
I authorize the person named above to register this vehicle in his/her name.
Signature of Owner or of Person Authorized to Sign (Date)
(If signing for a corporation, print your full name and title here)
Please Print With Black Ink in the Boxes Below
REGISTERING A VEHICLE YOU DON’T OWN
If you are registering a vehicle you don’t own, you must provide proof that the vehicle’s owner
has given you permission to do so. You can use this form to do that.
When completed, this form must be signed by the owner. In addition, you must provide
proof of ownership for the vehicle and proof of the owners identity (see form ID-82 for a list
of acceptable proofs of identity.)
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