- Form MV83-SAL - Salvage Examination/Title Application - New York
- Form AA-71 - Vehicle Dealer Request for Adjudicatory Proceeding - New York
- Form RV-253 - Application for Snowmobile Dealer Registration - New York
- Form PD-3 - All-Terrain Vehicle Registration Form - New York
- Form PD-2 - Dealer Request for Snowmobile Registration - New York
- Form MV-900.1 - Notice of Lien - Charge Account Customer - New York
Fillable Printable Form VS1-PROV - Provisional Dealer Registration Application - New York
Fillable Printable Form VS1-PROV - Provisional Dealer Registration Application - New York
Form VS1-PROV - Provisional Dealer Registration Application - New York
New York State Department of Motor Vehicles
PROVISIONAL DEALER REGISTRATION AND
INSPECTION STATION LICENSE APPLICATION
This form may only be used by New Vehicle Dealers.
Business Name
Business Street Address (physical location) Business Phone No. (Area Code)
( ) -
City
State ZIP County
Print name and location of business, and business e-mail address, below:
Business E-mail Address
I have read Part 78 of the Commissioners Regulations including Section 78.4 pertaining to the Provisional New Motor Vehicle Dealer
Registration that I am applying for and fully understand all responsibilities and requirements (available at
http://dmvweb/comregs/F078.htm#p78-3
). All owners and officers must print, sign and date as your name appears in the VS-1. Attach
additional pages if needed.
I have read Part 79 of the Commissioners Regulations including Section 79.7 pertaining to the Provisional Inspection Station License that
I am applying for and fully understand all responsibilities and requirements (available at http://dmvweb/comregs/F079.htm#p79-7). All
owners and officers must print, sign and date as your name appears in the VS-1. Attach additional pages if needed.
o Check this box if applying for a Provisional New Motor Vehicle Dealer Provisional Registration
o Check this box if applying for a Provisional Inspection Station License
First Name MI
Date
Title
Last Name
SIGN
HERE
First Name
MI
Æ
Date
Title
First Name MI
Date
Title
DMV
USE
ONLY
TRACKING #
FACILITY #
Contact Person Last Name
First Name
Phone
( ) -
e-mail address
Title
MI
This form must be attached to a completed VS-1 Original Facility Application with all required documents and payments.
Is or was there previously a
New Vehicle Dealer at this location?
If yes, please give the DMV facility
number and closing date if known:
DMV Facility Number
Closing Date
Provisional items you will receive:
DEALER
:
INSPECTION STATION
Please include one check for the Business Type(s) applied for:
o Application fee $ 37.50
o Dealer Registration fee $450
o Inspection Station License and Repair Shop Registration fee $250
Please include separate check(s) for each of the following forms:
o $1,260 (5) MV-50 books
o $610 (5) Books of Safety Emission Inspection Certificates
o $410 (5) Books of Safety Inspection Certificates
Once all forms, documents, and checks are received and approved, you will receive a package sent by UPS with the following items and
you may begin to operate only in Provisional status until the Vehicle Safety onsite investigation. If your dealership is approved, the New
Motor Vehicle Dealer and Inspection Station business certificates will be mailed at a later date. If you are denied by a DMV Inspector you
must return all MV-50s and all inspection stickers to Vehicle Safety.
VS-1PROV (6/13)
o Yes o No
Additional dealer plates and or MV-50 books may be requested through your regional office during the onsite investigation.
1. Provisional Inspection Station License Letter
2. Inspection License Bar Code
3. Safety Emission Inspection Certificates (5 books)
4. Safety Inspection Certificates-(5 books)
1. Provisional Dealer Registration Letter
2. Dealer Plate (10 plates) Approval Letter
3. MV-82 form for approved dealer plates
4. MV-50 books (5)
AFFIRMATION:
4
4
DMV MUST RECEIVE APPLICATION FEES AND APPLICABLE FORMS FOR:
Last Name
SIGN
HERE
Æ
Last Name
SIGN
HERE
Æ
reset/clear
