Fillable Printable 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 owner’s identity (see form ID-82 for a list

of acceptable proofs of identity.)

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