Form Mv-82sn - Snowmobile Registration Application (Page 2 of 2) in pdf

PLEASE COMPLETE ALL SECTIONS BELOW THAT APPLY TO YOU, THEN READ AND SIGN THE CERTIFICATION IN

TO CHANGE information on your current snowmobile registration

For a change of name, print your former name

exactly as it appears on the registration you now

have.

For a change other than name, tell us what the

change is, and the reason for the change

Certification:

The information I have given on this application is true to the best of my knowledge. I certify that the snowmobile is fully equipped as required by the Vehicle

and Traffic Law. If I am applying for replacement registration items, I certify that the registration is not currently under suspension or revocation. If I am using

a credit card for payment of any fees in connection with this application, I understand that my signature below also authorizes use of my credit card.

Print Name Here

(Print Name in Full - if registering for a corporation, print your full name and title)

Sign Here

(Sign Name in Full)

Additional Signature Sign Here

(Sign Name in Full - Additional signature required for a partnership or if registering this vehicle in more than one name.)

Snowmobile Club Member Certification:

I certify that I am a member, in good standing, of

(Print Name of New York State Snowmobile Club)

My signature authorizes the New York State Department of Motor Vehicles to use my personal information (name, address, and registration number)

to verify my membership in a snowmobile club that is a member of the New York State Snowmobile Association.

Sign

Here

(Sign Name in Full)

IMPORTANT: Making a false statement in any registration application or in any proof or statements in connection with it, or deceiving or substituting in

connection with this application, is a misdemeanor under Section 392 of the Vehicle and Traffic Law, and may also result in the revocation or

suspension of the registration pursuant to regulations established by the Commissioner. The Department makes no representation that it will issue a

transferable registration until all documentation required to establish ownership of the snowmobile is submitted and deemed to be satisfactory. Pending

review of this application, neither the Commissioner of the Department of Motor Vehicles nor any of his or her employees, deputies or agents assumes

any liability or responsibility for repairs performed, improvements made or work done to the snowmobile referenced in this application.

Credit Card Authorization if Cardholder is not the Applicant:

My signature authorizes ______________________________________ to

Sign

use my credit card for payment of any fees in connection with this

Here

(Cardholder-Sign Name in Full)

application, and I understand that I must be present for this transaction.

TO BE COMPLETED ONLY BY A REGISTERED NEW YORK STATE SNOWMOBILE DEALER

DEALER TRANSFER INFORMATION – Please complete the information below. For new snowmobiles, attach a Manufacturer’s Statement or Certificate

of Origin (MSO or MCO) and a bill of sale. For used snowmobiles, attach a signed title or transferable registration, along with bills of sale for any

subsequent transfers of ownership.

Snowmobile was

obtained from

Name

Date of Purchase From Previous Owner

Address

Snowmobile

was sold by

Dealership Name

Facility No.

Date of Sale

Address of your Dealership

DEALER CERTIFICATION – I certify that all information provided on this application is true. I take responsibility for the integrity of the papers delivered to

the Department of Motor Vehicles.

Signature of Dealer or Authorized Representative

Print Dealer Name

DEALER ONLY: Please mail or deliver this completed application and required paperwork, to any DMV office for processing. If you are issuing a

Temporary Certificate of Registration (MV-53), this must be done within 5 days.

PAGE 2 OF 2

MV-82SN (12/11)