Form Mv-82 - Vehicle Registration /title Application

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MV-82
Batch
VEHICLE REGISTRATION/TITLE
File No.
o
o
o
o
APPLICATION
Orig
Activity
Renewal
Lease Buyout
o
o
o
o
This form is available at
Dup
Activity W/RR
Renew W/RR
Sales Tax with Title
O
Old
Old
3 of
Ins. Co.
Exp.
F
Plate
Class
Name
Code
Date
F
Scofflaw Case
New
New
I
Plate
Class
Number(s)
C
E
AT
BV
CF
CO
CP
EX
FL
GI
IF
MO
NE
NF
NR
NU
OD
OP
OV
PA
Special
PC
PK
RC
RE
SA
SO
SR
SS
SV
TE
TL
TO
TP
TR
TX
XR
X6
WO
Conditions
USE
Sales Tax
Status
Value
Jurisdiction
Rate
Out of State
Audit
Information
ONLY
($)
o Yes o No
Is there a lienholder?
If “Yes”,
NY
Did you issue plates to this
Plate
Reg. Class
Date Temp Issued
Facility ID Number
enter the information in Dealer Only box below.
DEALER
vehicle?
Number
o
o
Alterations are not allowed in the lienholder sections.
ONLY
Yes
No
PRINT CLEARLY IN
INSTRUCTIONS è
1 2 4 6
7
3
5
COMPLETE
and
.
WHEN
AND
APPLY, COMPLETE THOSE SECTIONS.
BLUE OR BLACK INK.
1
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”.)
o
o
o
o
Get a TITLE ONLY for a 1973
A FIRST REGISTRATION for this vehicle
CHANGE a title (refer to
)
REGISTER a vehicle that I registered before
5
or newer vehicle
If you mark one of the options below, write the PLATE NUMBER here
o
o
o
o
o
RENEW a Registration
CHANGE a Registration (refer to
)
REPLACE lost registration items
TRANSFER a Plate Number
Purchased my LEASED VEHICLE
5
You can update the address on your registration and renew your registration online at .
2
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
New
Leased 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)
Used
Leased 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
3
DRIVER LICENSE NUMBER OF OWNER
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.
NAME OF CURRENT OWNER (Last, First, Middle)
DAY TELEPHONE NUMBER OF
DATE OF BIRTH
OWNER. (Optional)
Month
Day
Year
Area Code
(
)
(Include the Street Number and Name,
THE ADDRESS WHERE OWNER GETS MAIL
Rural Delivery or box number)
Apt. No.
City or Town
State
Zip Code
County
AUTHORIZATION:
The registrant described in
is authorized to register the vehicle described in
.
2
4
(Signature of owner or authorized person, and signature of co-owner if applicable)
(Date)
4
Body Type For Cars (mark one)
VEHICLE IDENTIFICATION NUMBER
VEHICLE DESCRIPTION
Year
Make
Station Wagon or
o
o
o
o
o
2-Door
4-Door
Convertible
Suburban
Other______________
Body Type For Other Vehicles (mark one)
Type of Power (Fuel)
Color
Unladen Weight
o
Pick-up
o
o
o
Tow
o
o
o
o
o
o
o
o
o
Van
Motorcycle
Trailer
Other _______________
Gas
Diesel
Electric
Flex
CNG
Propane
None
Truck
Truck
For trailers & commercial vehicles
For rentals,buses & taxis
Does the ODOMETER display 5, 6 or 7
For commercial vehicles
Cylinders
Maximum Gross Weight
Seating Capacity
Odometer Reading in Miles
numbers? (write the number, do not
Axles
Distance
include tenths)
NY
Lien Filing Code
Lienholder Name and
DEALER
(Assigned
Mailing Address
by DMV)
ONLY
Issuance
Title
Lien
Lien
Mileage Brand
Lien Release
Prior
State
OFFICE
Number
Owner
Proof Submitted (Name and Ownership)
Approved
Stop/Response
USE
By
Date
Old
ONLY
Reg/Title ______________________________________________________ State_______________
Fee
Operator
PAGE 1 OF 2
MV-82 (1/15)

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