Form Mv-464l - Order Form For Registration Plates/in-Transit Permits
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1ORDER FORM FOR REGISTRATION PLATES/IN-TRANSIT PERMITS
dmv.ny.gov
PRINT OR TYPE ALL REQUESTED INFORMATION.
Date
Facility Identification Number
Name of Title Clerk
Telephone Number
Fax Number
E-Mail
(
)
(
)
Name (as it appears on your official business certificate)
Number and Street
City
State
ZIP Code
County
REGISTRATION PLATES/IN-TRANSIT PERMITS (ITPs)
DMV OFFICE USE ONLY
REQUESTED
In-Transit
Passenger
Commercial
Motorcycle
Trailer
Permit
ATV
No. of
No. of
No. of
No. of
No. of
No. of
Boxes
Boxes
Boxes
Boxes
Boxes
Packages
u
Minimum order - 1 box (25 sets of plates)/1 package (25 permits per package)
u
Maximum order - 4 boxes of plates/4 packages of in-transit permits
u
Fee
$125 per box of plates
$312.50 per package of in-transit permits
u
Order must be in increments of 25 sets of plates/25 in-transit permits
.
A
Total registration plates:
$
boxes ordered
____________
X $125
=
B. Total permits:
$
=
packages ordered __________
X
$312.50
Amount of check or money order enclosed
(total of A & B above) =
Check number _________________________
$
CERTIFICATION:
I certify that the information on this application is true and correct, that the dealer registration is valid,
and that I am entitled to participate in the Dealer Plate Issuance Program. I will store, issue, and process the registration
plates/in-transit permits received in accordance with Dealer Plate Issuance Program regulations. I understand that failure to
follow these regulations may result in the termination of my participation in the Dealer Plate Issuance Program.
-
(Signature)
(Title)
FALSE STATEMENTS MADE IN CONNECTION WITH THIS ORDER ARE PUNISHABLE UNDER SECTION 210.45 OF THE PENAL LAW.
NOTE:
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Do not send cash.
Make check or money order payable to “Commissioner of Motor Vehicles”.
To send via UPS, FEDERAL EXPRESS, ETC:
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Mail order form and check or money order to:
u
DEPARTMENT OF MOTOR VEHICLES
DEPARTMENT OF MOTOR VEHICLES
PLATE ISSUANCE UNIT ROOM 322
DEALER PLATE ISSUANCE UNIT
PO BOX 2820
6 EMPIRE STATE PLAZA
ALBANY NY 12220-0820
ALBANY, NY 12228
The Dealer Plate Issuance Manual (MV-461) can be accessed on our DMV website: dmv.ny.gov.
THIS FORM MAY BE PHOTOCOPIED FOR ADDITIONAL ORDERS
MV-464L (3/16)
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