Form Fs-113 - Certificate Of Removal Of Vehicle From United States And Canada
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1CERTIFICATE OF REMOVAL OF VEHICLE FROM
UNITED STATES AND CANADA
Please prepare this form in duplicate, and present both copies with the vehicle registration. The registration will be returned to you
with one copy of this form.
Name
Vehicle I.D.
Number
Number and
City or Town
State
Zip Code
Street
Year
Make
Body Type
Plate No.
Sticker No.
Expiration Date
In accordance with Section 318.1(d) of the Vehicle and Traffic Law, I apply for exemption from the Motor Vehicle Financial Security
Act. I certify that: the liability insurance on the vehicle described above has not been, and will not be, terminated or lapsed prior to
removal; and that the vehicle has already been removed from the United States and Canada for the purpose of international traffic, or
that it will be removed for such purpose before _____________________________.
I agree to notify the Commissioner of Motor Vehicles immediately upon return of the vehicle to the United States or Canada, and to
provide new proof of insurance coverage, together with the vehicle registration.
Signature of Registrant
Approved by (MV Staff Member)
Motor Vehicles Office
Date
dmv.ny.gov
FS-113 (7/15)
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CERTIFICATE OF REMOVAL OF VEHICLE FROM
UNITED STATES AND CANADA
Please prepare this form in duplicate, and present both copies with the vehicle registration. The registration will be returned to you
with one copy of this form.
Name
Vehicle I.D.
Number
Number and
City or Town
State
Zip Code
Street
Year
Make
Body Type
Plate No.
Sticker No.
Expiration Date
In accordance with Section 318.1(d) of the Vehicle and Traffic Law, I apply for exemption from the Motor Vehicle Financial Security
Act. I certify that: the liability insurance on the vehicle described above has not been, and will not be, terminated or lapsed prior to
removal; and that the vehicle has already been removed from the United States and Canada for the purpose of international traffic, or
that it will be removed for such purpose before _____________________________.
I agree to notify the Commissioner of Motor Vehicles immediately upon return of the vehicle to the United States or Canada, and to
provide new proof of insurance coverage, together with the vehicle registration.
Signature of Registrant
Approved by (MV Staff Member)
Motor Vehicles Office
Date
dmv.ny.gov
FS-113 (7/15)
reset/clear
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