Form Mv-902 - Application For Duplicate Title

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APPLICATION FOR DUPLICATE TITLE

TITLE BUREAU

PO Box 2750

Albany NY 12220-0750

If any of the statements below apply to this application, mark the box of each statement that applies and complete Section 1 and Section 2

below. If there is no statement that applies, go to “Instructions” below:

Last, First, Middle Initial

The address is a

NEW ADDRESS.

The

OWNER NAME HAS CHANGED. Enter NEW name:

The

OWNER IS DECEASED.

The

OWNER HAS GIVEN POWER OF ATTORNEY

Included with this application is an

that is signed and includes a date. (Photocopies are not accepted.)

original LIEN RELEASE

INSTRUCTIONS:

Complete Section 1 below. Provide all requested information.

Read, sign and enter the date in Section 2 - Certification.

Provide the required proof of identity for the person who signs the certification in Section 2 (see Section 3 on page 2).

If your name has changed, the owner is deceased, or if you have Power of Attorney, provide the required documentation that is

described in Section 4 on page 2.

Provide a separate $20 fee for each application.

Bring this application with your ORIGINAL proof of identity documents and the correct fee to any Motor Vehicles office. If Section 4

applies to you, bring the required documentation.

Mail this application with PHOTOCOPIES of your proof of identity, any additional documentation (if required under Section 4) and

the correct fee to the Title Bureau at the address shown on the top of this page. Pay with a check or money order payable to

“Commissioner of Motor Vehicles”, do not mail cash.

If your address has not changed since you last registered the vehicle and your current address is on your registration, you can apply for a

duplicate title on-line. For more information visit

CUSTOMER MUST COMPLETE SECTIONS 1 and 2 BELOW

SECTION 1

Vehicle or Hull Identification Number (VIN or HIN)

Year

Make

License Plate No.

Owner’s Name (Last, First, M.I.)

Date of Birth (Month/Day/Year)

C/O (applies if Power of Attorney or dealer authorization is shown or the owner is deceased)

Apt. Number

Daytime Telephone Number

Current Mailing Address (Number and Street)

(

)

City

State

Zip Code

SECTION 2 — CERTIFICATION

I understand that the

that I will receive as a result of this application replaces all previously issued

DUPLICATE CERTIFICATE OF TITLE

titles, and that only this duplicate title may be used to sell, transfer or trade the above vehicle, boat or manufactured home. I certify that the

Certificate of Title for the vehicle, boat or manufactured home described above, and last issued in the owner’s name, has been lost, destroyed

or damaged. If lost or destroyed, I do not know where it is; if damaged, I have enclosed it with this application. I certify that the information I

have given on this application is true to the best of my knowledge and belief. I understand that knowingly making a false statement on this

application is a misdemeanor according to Article 210 of the Penal Law and Section 392 of the Vehicle and Traffic Law.

SIGN HERE

_____________________________________________________________

_____________________________

(Signature of Owner or Applicant)

(Date)

__________________________________________________________________________________________________

If you sign for a corporation or use an “in care of” address, print your full name and your title here (i.e. Power of Attorney, Executor, Next of Kin, President, etc.)

IMPORTANT: ACCORDING TO LAW, THE DUPLICATE CERTIFICATE OF TITLE MUST BE MAILED TO THE OWNER. DO NOT VISIT DMV TO GET THE

DUPLICATE TITLE.

MV-902 (12/15)

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