Fillable Printable Vehicle Registration/Title Application - New York

Vehicle Registration/Title Application - New York

o RENEW a Registration o CHANGE a Registration (refer to ) o REPLACE lost registration items o TRANSFER a Plate Number o Purchased my LEASED VEHICLE

You can update the address on your registration and renew your registration online at www.dmv.ny.gov.

o A FIRST REGISTRATION for this vehicle o CHANGE a title (refer to ) o REGISTER a vehicle that I registered before

o Gas o Diesel o Electric o Flex o CNG o Propane o None

Issuance

State

Title

AUTHORIZATION: The registrant described in is authorized to register the vehicle described in .

OFFICE

USE

ONLY

M F

COMPLETE and . WHEN AND APPLY, COMPLETE THOSE SECTIONS.

Year Make

Color

Unladen Weight

Cylinders

Did you issue plates to this

vehicle?

o Yes o No

Plate

Number

Reg. Class

The owner of the vehicle must sign this section.

NOTE: Do not complete this section if a completed Registration Authorization (form MV-95) is

attached or if you apply to renew a vehicle registration and the owner of that vehicle has not

changed. Proof of ownership and proof of owner’s name and date of birth are required.

Area Code

( )

Maximum Gross Weight

oNew

oUsed

Does the ODOMETER display 5, 6 or 7

numbers? (write the number, do not

include tenths)

NAME CHANGE?

o YES (refer to ) 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)

NYS driver license number of PRIMARY

SEX

THE ADDRESS WHERE PRIMARY REGISTRANT GETS MAIL

For trailers & commercial vehicles

For commercial vehicles

For rentals,buses & taxis

VEHICLE DESCRIPTION

Body Type For Cars (mark one)

Body Type For Other Vehicles (mark one)

(Signature of owner or authorized person, and signature of co-owner if applicable) (Date)

Type of Power (Fuel)

VEHICLE IDENTIFICATION NUMBER

NAME OF CURRENT OWNER (Last, First, Middle)

Odometer Reading in Miles

DAY TELEPHONE (Optional)

DRIVER LICENSE NUMBER OF OWNER

Month Day Year

DATE OF BIRTH

Month Day Year

DATE OF BIRTH

Month Day Year

Lien Lien

Number

Lien Release

Mileage Brand

Axles

Distance

Prior

Owner

Lienholder Name and

Mailing Address

Special

Conditions

Sales Tax

Information

Proof Submitted (Name and Ownership)

Reg/Title ______________________________________________________ State_______________

AT BV CF CO CP EX FL GI IF MO NE NF NR NU OD OP OV PA

PC PK RC RE SA SO SR SS SV TE TL TO TP TR TX XR X6 WO

Date Temp Issued Facility ID Number

Is there a lienholder? o Yes o No If “Yes”,

enter the information in Dealer Only box below.

Lien Filing Code

(Assigned

by DMV)

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

Apt. No. City or Town State Zip Code

(Include the Street Number and Name,

Rural Delivery or box number)

If you mark one of the options below, write the PLATE NUMBER here

VEHICLE REGISTRATION/TITLE

APPLICATION

This form is available at www.dmv.ny.gov

MARK THE BOX OF THE TYPE OF SERVICE YOU NEED. (For more information, refer to form MV-82.1, “Registering/Titling a Vehicle in New York State”.)

THE ADDRESS WHERE PRIMARY REGISTRANT RESIDES IF DIFFERENT FROM THE MAILING ADDRESS

(DO NOT GIVE A P.O. BOX.)

Apt. No. City or Town State Zip Code County

THE ADDRESS WHERE OWNER GETS MAIL

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

Area Code

( )

DAY TELEPHONE NUMBER OF

OWNER. (Optional)

o Orig

o Dup

o Lease Buyout

o Sales Tax with Title

o Renewal

o Renew W/RR

1 2 4 6 7

USE

ONLY

DEALER

ONLY

Old

Class

Old

Plate

3 of

Name

Ins. Co.

Code

Exp.

Date

Status Value

($)

Jurisdiction Rate Out of State Audit

New

Plate

Scofflaw Case

Number(s)

New

Class

Stop/Response

Operator

Approved

Date Old

Fee

Batch

File No.

PAGE 1 OF 2

MV-82 (6/15)

o Activity

o Activity W/RR

DEALER

ONLY

Seating Capacity

Alterations are not allowed in the lienholder sections.

Station Wagon or

o 2-Door o 4-Door o Convertible o Suburban oOther______________

ooVan oMotorcycle ooTrailer oOther _______________

INSTRUCTIONS è

2 4

PRINT CLEARLY IN

BLUE OR BLACK INK.

M F

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

NYS driver license number of CO-REGISTRANT

SEX

DATE OF BIRTH

Get a TITLE ONLY for a 1973

or newer vehicle

How did you get

the vehicle?

(mark one)

Pick-up

Truck

Tow

Truck

oLeased New

oLeased Used

1. I certify that, to the best of of my knowledge, this vehicle o has been or o has not been wrecked, destroyed or damaged to such an extent that

the total estimate, or actual cost, of parts and labor to rebuild or reconstruct the vehicle to the condition it was in before an accident, and for legal

operation on the road or highways, is more than 75% of the retail value of the vehicle at the time of loss.(Checking the “has been

” box means the

vehicle must have an anti-theft examination before being registered, and that the title issued will have the statement “Rebuilt Salvage” on it.)

NAME CHANGE: Print the former name exactly like the former name is printed on the current registration or title.

CHANGES: Describe any vehicle changes and the reasons for the changes.

ADDITIONAL VEHICLE INFORMATION QUESTIONS 1-3 MUST BE COMPLETED.

CERTIFICATION: The information I have given on this application is true to the best of my knowledge. I certify that the vehicle is fully equipped as

required by the Vehicle and Traffic Law, and has passed the required New York State inspection within the past 12 months, or has qualified for a time

extension (Form VS-1077) and will be inspected within 10 days. I also certify that appropriate insurance coverage is in effect, and that the vehicle will be

operated in accordance with 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 have plates in a series reserved for a special group, I certify that I am still eligible to receive them, and that I have

only one set of these plates. 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.

Lien Filing Code (Assigned by DMV) ____________________________________ Lienholder Name_______________________________________________________________

Mailing Address ___________________________________________________________________________________________________________________________________

(Number and Street) (City) (State) (Zip Code)

Lien Filing Code (Assigned by DMV) ____________________________________ Lienholder Name_______________________________________________________________

Mailing Address ___________________________________________________________________________________________________________________________________

(Number and Street) (City) (State) (Zip Code)

To Be Completed by a Registered New York State Dealer Only – List any additional Lienholders

MV-82 (6/15)

NY 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 Motor Vehicles office.

____________________________________________________

(Signature of Dealer or Authorized Representative)

CHANGES - Write new information about a current registration or title on page 1 of this form (for more information, refer to form MV-82.1,

“Registering/Titling a Vehicle in New York State”.)

PAGE 2 OF 2

(Sign Here - 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)

My signature authorizes __________________________________________

to use my credit card for payment of fees in connection with this application,

and I understa

nd that I must be present for this transaction.

CREDIT CARD AUTHORIZATION IF CARDHOLDER IS NOT THE APPLICANT:

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 certificate of title

or transferable registration until the Commissioner is satisfied that the applicant is entitled to a certificate of title or transferable registration, and until all

documentation required to establish ownership of the vehicle 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 vehicle referenced in this application.

Additional Signature

Sign Here

Print Name Here ç

(Print Name in Full)

Print Additional

Name Here ç

(Sign Here)

Sign Here ç

(Cardholder-Sign Name in Full)

Sign

Here

4. This vehicle is a pick-up truck with an unladen weight that is a maximum of 6,000 pounds. This vehicle is never used for commercial

purposes and does not have advertising on any part of it. I want (mark one):

3. Has this vehicle been modified to change its registration class?

o Yes o No If “Yes”, explain _____________________________________

_______________________________________________________________________________________________________________________

2. Is this vehicle registered for your personal use?

o Yes o No

If you marked “Yes”, go to the next question (question 3) . If you marked “No”, check any of these boxes that apply:

o This vehicle is a passenger vehicle that will be used for hire with a driver and will be operated in the following location(s):

o New York City (NYC) o A jurisdiction that is not NYC that regulates taxis o A jurisdiction that does not regulate taxis

o This vehicle is a passenger vehicle that is rented without a driver.

o This vehicle requires a permit for commercial operation. (Mark the box of the type of permit that was issued and write the permit number on the line.)

o NYS DOT Permit No. _________________ o Federal DOT Permit No. _________________

o The government owns this vehicle.

o This vehicle is used as (mark one) o an ambulance o an ambulette o a hearse or invalid coach

If payment is received to carry passengers, mark this box.o

o This vehicle is used exclusively as a hearse If payment is received to carry passengers, mark this box.o

o This vehicle is a commercial tow truck with a gross vehicle weight rating of at least 8,600 pounds.

o This vehicle is used only as a farm vehicle. (form MV-260F, Part 1, must be attached) o This vehicle is used only as an agricultural truck.

o This vehicle is subject to the Department of Transportation inspection requirements for the carriers that transport passengers. (For more

information, refer to form MV-82.1P, “Inspection Requirements for Carriers Transporting Passengers”.)

o Passenger Plates o Commercial Plates