Form Mv-82b - Dmv Boat Registration Title Application Form

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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 2 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
6
)
CHANGE the title (refer to
)
motorized boat that is 14 or more feet long
Is this registration for a
NYS DRIVER LICENSE NUMBER
SEX
DATE OF BIRTH
corporation or a partnership?
Month
Day
Year
M o F o
o YES
o NO
o YES
o NO
(Refer to
6
)
ADDRESS WHERE YOU LIVE IF DIFFERENT FROM YOUR MAILING ADDRESS — DO NOT GIVE A PO BOX
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
HULL MATERIAL
PROPULSION
OTHER
NONE
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
of the Leasing Agreement
Lienholder Name and
Lien Filing Code
NY
(Assigned by
Mailing Address
DMV)
DEALER
ONLY
Title
Lien
Lien
Lien Release
Prior
Old Owner
OFFICE
Owner
Number
3 of Name
USE
Operator
Proof Submitted
Stop/Response
ONLY
Signature
(Name and Ownership)
MV-82B (4/13)
PAGE 1 OF 2

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