Fillable Printable Form PD-7 - Plate Surrender Application Form - New York

Form PD-7 - Plate Surrender Application Form - New York

PLATE SURRENDER APPLICATION

6 EMPIRE STATE PLAZA, ROOM B240

ALBANY NY 12228

PD-7 (3/15)

INSTRUCTIONS:

Use this form to surrender your NYS license plate(s). Provide all requested information.

1. Complete a separate application for each set of plates being surrendered.

2. Mail your application and your plates to the address above.

3. There is no fee to surrender plates. Please do not include any payment.

License Plate Number:

Vehicle Plate Class:

(The 3 letter code above the plate number on the

registration document. Example: PAS; COM)

First 3 of Name:

(The first three letters of the last name or the

company name on the registration document)

Number of plates being returned:

(check only one box)

Upon receipt of your plates, DMV will mail you a receipt and, if applicable, the NYS Comptroller’s

Office will mail a registration refund check to the

address on your registration. If your address

has changed and you would like these mailed to your

new address, please provide it below:

1 2

New Address:

OFFICE USE ONLY

Post Mark Date:

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