Form Mv-82ton - Applcation For Title

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MV-82TON (1/15)
APPLICATION FOR TITLE
*MV-82TON*
PAGE 1 OF 2
PLEASE PRINT WITH BLUE OR BLACK INK
IMPORTANT– DO NOT USE THIS FORM TO REGISTER A VEHICLE, BOAT OR TRAILER
FOR OFFICE USE ONLY
Please carefully READ THE INFORMATION ON PAGE 2 of this form.
Batch File No. __________________________
Everyone must complete Sections 1, 3 and 6 AND whichever of the following is applicable:
.
.
Section 2 for Co-Owners
Sections 4 and 7 for NYSREG Dealers
.
.
Proof Submitted ________________________
Section 5 for Vehicle, Motorcycle or Trailer
Section 8 for MFH Dealers
NEW OWNER’S LAST NAME (OR COMPANY NAME)
FIRST NAME
M.I.
1
ID NO. (from Driver LIcense)
DATE OF BIRTH
SEX
Month
Day
Year
M
F
NEW CO-OWNER’S LAST NAME
FIRST NAME
M.I.
2
ID NO. (from Driver LIcense)
DATE OF BIRTH
SEX
Month
Day
Year
M
F
NEW OWNER’S MAILING ADDRESS
(include Street Number and Name, Rural Deliery and/or Box Number)
CITY OR TOWN
STATE
ZIP CODE
COUNTY
Apt. No.
ADDRESS WHERE YOU LIVE – IF DIFFERENT FROM YOUR MAILING ADDRESS –
DO NOT GIVE PO BOX (Include Street Number and Name)
CITY OR TOWN
STATE
ZIP CODE
COUNTY
Apt. No.
A
COMPLETE ONE OF THE FOLLOWING:
B
C
D
OR
OR
OR
3
A
VEHICLES AND MOTORCYCLES
B
BOATS ONLY
How was the boat obtained?
New
Used
Leased
How was the vehicle obtained?
FOR OFFICE USE ONLY
HULL IDENTIFICATION NUMBER
New
Used
Lease Buyout
MILEAGE BRAND
Salvage
Leased
VEHICLE IDENTIFICATION NUMBER
YEAR
MAKE
LENGTH
Feet
Inches
YEAR
MAKE
COLOR
*
ODOMETER READING IN MILES
HULL MATERIAL
Wood
Plastic
Inflatable
Fiberglass
Aluminum
Steel
Other ____________________________________
*Odometer has room for how many numbers?
VEHICLE TYPE
PROPULSION
(DO NOT INCLUDE TENTHS.)
2 Door
4 Door
Outboard
Inboard
Inboard/Outboard
Sail
TYPE OF POWER
CYLINDERS
Convertible
Motorcycle
Gas
Diesel
Electric
Other ____________________________________________________________
Van
Flex
CNG
Propane
Truck (List Type)
None
Other ____________
FUEL
Pick up
Dump
MAXIMUM GROSS WEIGHT
Fire
Tow
Utility
UNLADEN WEIGHT
Gas
Diesel
Electric
None
Other_____________________
(FOR TRUCKS)
Other Type of Vehicle or
Truck (explain)
Less than 16,000 lbs.
____________________
16,000 lbs. or more
How was the trailer obtained?
D
TRAILERS ONLY
New
Used
Leased
Salvage
Is the vehicle currently registered
If Yes, Plate Number:
in new owner’s name?
VEHICLE IDENTIFICATION NUMBER
Yes
No
C
MANUFACTURED HOMES ONLY
How was the manufactured
home obtained?
New
Used
YEAR
MAKE
COLOR
UNLADEN WEIGHT
SERIAL NUMBER
TYPE
Is the trailer currently registered
in new owner’s name?
Yes
No
House Trailer
Boat Trailer
YEAR
MAKE
COLOR
SIZE
Semi Trailer
Refrigerator Trailer
Width
Length
If Yes, Plate Number:
Other ___________ _____________________
LIEN INFORMATION - To be completed only by a NYS-registered vehicle, boat, or trailer dealer - DO NOT USE FOR MFH
4
LIEN FILING CODE (Assigned by DMV)
LIENHOLDER NAME AND ADDRESS
NYS REG
DEALER
ONLY
-
Signature Required on back

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