APPLICATION FOR DUPLICATE TITLE
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
OWNER NAME HAS CHANGED. Enter NEW name:
OWNER IS DECEASED.
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
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
Vehicle or Hull Identification Number (VIN or HIN)
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)
Daytime Telephone Number
Current Mailing Address (Number and Street)
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.
(Signature of Owner or Applicant)
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
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