CERTIFICATION OF SALE OR TRANSFER FOR 1972 OR
OLDER VEHICLES OR ANY OTHER NON-TITLED VEHICLES
dmv.ny.gov
INSTRUCTIONS:
1. Print in ink or type all entries.
2. This certification is to be used if the vehicle is sold by a person other than a dealer. A dealer cannot use this form to sell a vehicle.
3. This certification must be accompanied by bills of sale showing continuity of ownership from all previous owners.
Note: This form must be accompanied by supporting documents which will not be accepted if there are any changes
or alterations on them.
Name of Seller (Last, First, M.I.)
Mailing Address (Number and Street)
Apt. #
City or Post Office
County
State
Zip Code
Year of Last
State of Last
Plate No.
Registration
Registration
Name of Last Registrant or Previous Owner(Last, First, M.I.)
Address of Last Registrant (Number, Street, Apt. #, City, State, and Zip Code)
PURCHASER: Before purchase, be sure you find out if there are any liens on it. One way to do this is to contact your County Clerk’s Office
Name of Purchaser (Last, First, M.I.)
Mailing Address (Number, Street, Apt. #)
City or Post Office
County
State
Zip Code
Date of Purchase
VEHICLE DESCRIPTION
VEHICLE INSPECTION
Date of Last
Year
Make
Vehicle Identification Number
Inspection
Inspection Sticker
o
o
o
o
o
o
Number
Gas
Propane
Electric
Flex
Diesel
CNG
Station
Body Type
Color
Maximum Performance
Number
Speed of Motorcycle
Unladen Weight
Cylinders
Lbs.
CERTIFICATION OF SELLER
I certify that I am the owner of the vehicle described on this form, and that I have sold this vehicle to the purchaser named on the form.
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____________________
_______________________________________________________________________
(Date)
(Sign Name in Full – If Not Individual Seller, Give Title)
CERTIFICATION OF PURCHASER
I certify that I have purchased the vehicle described on this form from the seller named on the form.
ç
_______________________________________________________________________
____________________
(Sign Name in Full – If Not Individual Purchaser, Give Title)
(Date)
FALSE STATEMENTS ARE PUNISHABLE UNDER SECTION 210.45 OF THE NYS PENAL LAW.
MV-51 (7/16)
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