Form Mv-1046 - Boat Registration/title Application - New York State Dmv

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FOR OFFICE USE ONLY
New York State Department of Motor Vehicles
Batch File No.
BOAT REGISTRATION/TITLE APPLICATION
o
o
o
o
(This form is also available on DMV’s web site - )
Original
Renewal
Activity
Duplicate
OFFICE
Reg.
3 of
Sticker
SPECIAL CONDITIONS:
NF
OV
PA
SV
XR
No.
Name
USE
Status
Value
Jurisdiction
Rate
Out of State
Audit
Sales Tax
ONLY
Information
($)
TO BE COMPLETED ONLY BY A REGISTERED NEW YORK STATE BOAT DEALER
IF A TEMPORARY REGISTRATION WAS ISSUED:
NY
If you assigned a registration number to this boat, place the registration number sticker over this box. If the boat already has a valid New York registration number, enter
the information below.
DEALER
Registration Number: ________________________________________________________________
Date Temp. Reg. Issued: __________________________
ONLY
Dealer Name: ________________________________________________________________
Dealer Facility Number: __________________________
INSTRUCTIONS è
1
4
5
7
3
6
COMPLETE
and
.
WHEN
AND
APPLY, COMPLETE THOSE SECTIONS.
Print clearly in blue or black ink
1
MARK THE BOX OF THE TYPE OF SERVICE YOU NEED. (For more information, refer to form MV-82.1B “Registering/Titling a Boat in New York State”.)
o
o
o
o
o
[
]
REPLACE the registration
mark one or both
D
S
Get a FIRST REGISTRATION for a boat
OCUMENT
TICKER
RENEW a registration
o
o
o
Get a TITLE ONLY for a 1987 or newer
6
CHANGE the current registration (refer to
)
CHANGE the title (refer to
)
6
motorized boat that is 14 or more feet long
NAME OF PRIMARY REGISTRANT (Last, First, Middle)
NYS driver license number of PRIMARY
SEX
DATE OF BIRTH
Month
Day
Year
M F
o o
NAME OF CO-REGISTRANT (Last, First, Middle)
NYS driver license number of CO-REGISTRANT
SEX
DATE OF BIRTH
Month
Day
Year
M F
o o
DAY TELEPHONE (Optional)
o
o
How did you get
ADDRESS CHANGE?
NAME CHANGE?
Is this registration for a corporation
Leased New
New
Area Code
the vehicle?
o
o
o
o
o
o
or partnership?
Yes
No
o
o
YES (refer to
5
)
NO
YES
NO
(mark one)
Leased Used
(
)
Used
THE ADDRESS WHERE PRIMARY REGISTRANT GETS MAIL
(Include Street Number and Name, Rural Delivery or box number. This address will be on the document.)
Apt. No.
City or Town
State
Zip Code
County of Residence
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
NYS DRIVER LICENSE NUMBER OF OWNER
A different owner is only allowed when the boat is leased. IF YOU ARE NOT THE OWNER of this boat, the owner
3
must complete this section. Proof of ownership, proof of owner’s name and date of birth and copy of the
leasing agreement are required. NOTE: Do not complete this section if a completed Registration Authorization (form
MV-95) is attached or if you apply to renew the boat registration and the owner of that boat has not changed.
NAME OF CURRENT OWNER
(Last, First, Middle)
DATE OF BIRTH
(Optional)
DAY TELEPHONE NUMBER OF OWNER
Month
Day
Year
Area Code
(
)
ADDRESS WHERE THE OWNER GETS MAIL
(Include Street Number and Name, Rural Delivery or box number)
Apt. No.
City or Town
State
Zip Code
County
AUTHORIZATION:
The registrant described in
is authorized to register the boat described in
.
2
4
(Signature of owner or authorized person, and signature of co-owner)
(Date)
4
HULL IDENTIFICATION NUMBER
YEAR
MAKE
LENGTH
FUEL
Feet
Inches
o
o
GAS
DIESEL
o
ELECTRIC
o
o
USE o
o
OTHER
NONE
HULL MATERIAL
PROPULSION
TYPE OF BOAT
PLEASURE
MANUFACTURER
o
o
o
o
o
o
o
o
o
WOOD
STEEL
OUTBOARD
IN BOARD
GOVERNMENT
LEASED
RENTAL
OPEN
CABIN
COUNTY OF PRIMARY USE
o
o
PLASTIC
INFLATABLE
o
o
o
o
I/O (IN/OUTBOARD)
COMMERCIAL PASSENGER:
UNDER 6
6 OR MORE
HOUSE
o
o
FIBERGLASS
OTHER
o
o
o
o
o
o
DEALER
COMMERCIAL
FISHING - COMM.
OTHER_____________
o
SAIL
OTHER
ALUMINUM
o
Does this boat now have a
Yes
If “YES”, enter the
o
o
o
New
Used
NY REGISTRATION Number?
No
NY Registration Number
o
o
Leased New
Leased Used
o
o
Is this boat now DOCUMENTED
Yes
If “YES”, enter the
If NO, are you in the process
Yes
If leased, YOU MUST ATTACH a copy
o
o
by you?
No
Document Number
of Documenting the boat?
No
NY
Lien Filing Code
Lienholder Name and
DEALER
(Assigned
Mailing Address
by DMV)
ONLY
Title
Lien
Lien
Prior
Lien Release
OFFICE
Old Owner
Owner
Number
3 of Name
USE
Operator
Proof Submitted
Stop/Response
ONLY
Signature
(Name and Ownership)
MV-82B (4/14)
PAGE 1 OF 2

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