Form Mv-82ton - Application For Title
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1
2New York State Department of Motor Vehicles
MV-82TON (11/07)
*MV-82TON*
APPLICATION FOR TITLE
PAGE 1 OF 2
PLEASE PRINT WITH BLUE OR BLACK INK
FOR OFFICE USE ONLY
IMPORTANT– DO NOT USE THIS FORM TO
Batch File No. __________________________________
REGISTER A VEHICLE OR BOAT
PROOF SUBMITTED
Please carefully READ THE INFORMATION
Type____________________________________Doc. No._________________________________
ON PAGE 2 of this form.
Issuance Date________________________ State__________
A.
COMPLETE ALL INFORMATION IN THIS SECTION
For Office Use Only
LAST NAME (1
ST
OWNER)
FIRST NAME
M.I.
ID NO. (from Driver LIcense)
DATE OF BIRTH
SEX
Month
Day
Year
M
F
LAST NAME (2
ND
OWNER)
FIRST NAME
ID NO. (from Driver LIcense)
DATE OF BIRTH
SEX
M.I.
Month
Day
Year
M
F
ADDRESS WHERE YOU GET YOUR MAIL (Include Street Number and Name, Rural Delivery and/or Box Number.)
Apt. No.
ZIP CODE
COUNTY
STATE
CITY OR TOWN
ADDRESS WHERE YOU LIVE – IF DIFFERENT FROM YOUR MAILING ADDRESS–DO NOT GIVE PO BOX (Include Street Number and Name, Apt. #, Rural Delivery and/or Box Number.)
COUNTY
.
B
COMPLETE ONLY ONE OF THE SECTIONS BELOW (1 - 3) AND SIGN THE CERTIFICATION ON PAGE 2
1
VEHICLES (including motorcycles and trailers)
How was the vehicle obtained?
New
Used
Leased
Salvage
I certify that, to the best of my knowledge, this vehicle
has been or
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: NY” on it if the proof of ownership is a New York title. If the proof of ownership is an out-of-state title, it will show that state’s abbreviation.)
FOR OFFICE USE ONLY
YEAR
MAKE
COLOR
VEHICLE IDENTIFICATION NUMBER
MILEAGE BRAND
*
The odometer on this vehicle has room for how many numbers (5, 6 or 7)? ________
*
ODOMETER READING IN MILES
(Do not count the number for tenths of a mile.)
FOR CARS
FOR OTHER VEHICLES
TYPE OF POWER
CYLINDERS
UNLADEN WEIGHT
MAXIMUM GROSS WEIGHT (FOR TRUCKS)
2 Door
4 Door
Pickup
Van
Motorcycle
Gas
Diesel
Electric
Less than 16,000 lis.
Convertible
Station Wagon
Truck
Trailer
Fire Truck
Flex
CNG
Propane
16,000 lis. or more
Other ____________________
Other ______________________
None
Other _____________
Is the vehicle currently
Is the vehicle currently registered
If No, registrant’s name:
If Yes, Plate Number:
registered?
in your name?
Yes
No
Yes
No
BOATS
HULL IDENTIFICATION NUMBER
YEAR
MAKE
LENGTH
2
Feet
Inches
How was the boat obtained?
New
Used
Leased
HULL MATERIAL
PROPULSION
FUEL
Outboard
Inboard
Inboard/Outboard
Sail
Gas
Diesel
Electric
None
Wood
Metal
Plastic
Inflatable
Fiberglass
Aluminum
Steel
Other __________________________________
Other ____________________________________________
Other _________________________________________________
MANUFACTURED HOMES
3
How was the manufactured home obtained?
New
Used
SERIAL NUMBER
YEAR
MAKE
COLOR
SIZE
Width
Length
.
C
LIEN INFORMATION - To be completed only by a NYS-registered vehicle or boat dealer.
See 5 and 6 below.(Do not use for manufactured homes.)
LIENHOLDER NAME AND ADDRESS
LIEN FILING CODE (Assigned by DMV)
LIENHOLDER NAME AND ADDRESS
LIEN FILING CODE (Assigned by DMV)
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