Form Mv-82itp - In-Transit Permit/title Application
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1
2IN-TRANSIT PERMIT/TITLE APPLICATION
Batch
File No.
dmv.ny.gov
o
o
Orig
Activity
PLEASE PRINT CLEARLY
O
Insurance Company
Old Class
3 of Name
Old Plate
F
Code
F
Scofflaw Case
New
New
I T P
I
Number(s)
Plate
Class
C
E
Special Conditions:
EX
GI
IF
NF
NU
OD
OV
PA
RC
SA
SO
SP
SS
SV
USE
Status
Value
Jurisdiction
Rate
Out of State
Audit
Sales Tax
ONLY
($)
Information
Permit
Expiration Date
Date Issued
Facility ID
Is there a lienholder?
If “Yes”, enter the information below UNLESS the
Permit
Number
vehicle will be transported out-of-state (in that case,
Number
Info.
/
/
o Yes
o No
/
/
DEALER
advise the lender to perfect the lien in that state).
Lien Filing Code
Lienholder Name and Mailing Address
ONLY
(Assigned by DMV)
INSTRUCTIONS è
1 2 4 6
7
3
5
COMPLETE
and
.
WHEN
AND
APPLY, COMPLETE THOSE SECTIONS. PLEASE PRINT CLEARLY.
1
o
Mark the box
Transport this vehicle to register it at a location outside of New York State.
for the action
THE FOLLOWING OPTIONS CANNOT BE USED BY PLATE ISSUANCE DEALERS OR PARTNERS:
you need.
o
Transport this vehicle within New York State to register it in another part of New York State.
o
Transport this vehicle to obtain the required NYS Department of Transportation or NYS Heavy Vehicle inspection (see page 2 for requirements).
o
Change information on a current in-transit permit.
o
This vehicle will be transported
FROM (point of origin, include city and state): _______________________________________________________________________
NOTE:
TO (destination, include city and state or country): _________________________________________________________________
NOT VALID IN MASSACHUSETTS
2
NAME OF PRIMARY REGISTRANT (Last, First, Middle)
NYS driver license number of PRIMARY
SEX
DATE OF BIRTH
Month
Day
Year
M F
o o
NAME OF CO-REGISTRANT (Last, First, Middle)
NYS driver license number of CO-REGISTRANT
SEX
DATE OF BIRTH
Month
Day
Year
M F
o o
DAY TELEPHONE (Optional)
How did you
o
o
ADDRESS CHANGE?
NAME CHANGE?
Is this registration for a corporation
New
Leased New
Area Code
get the vehicle?
o
o
o
o
o
o
o
o
Used
Leased Used
or partnership?
Yes
No
YES (refer to
5
)
NO
YES
NO
(mark one)
(
)
ADDRESS WHERE PRIMARY REGISTRANT GETS MAIL
(Include Street Number and Name, Rural Delivery or box number. This address will be on the document.)
Apt. No.
City or Town
State
Zip Code
County of Residence
ADDRESS WHERE PRIMARY REGISTRANT RESIDES IF DIFFERENT FROM THE MAILING ADDRESS
(DO NOT GIVE A P.O. BOX.)
Apt. No.
City or Town
State
Zip Code
3
DRIVER LICENSE NUMBER OF OWNER
The owner of the vehicle must sign this section. Proof of ownership and proof of owner’s name and
date of birth are required.
NOTE -Do not complete this section if a completed Registration Authorization (form MV-95) is attached.
NAME OF CURRENT OWNER (Last, First, Middle)
DATE OF BIRTH
OWNER’S DAY PHONE NO. (Optional)
Month
Day
Year
Area Code
(
)
(Include Street Number and Name,
ADDRESS WHERE OWNER GETS MAIL
Rural Delivery and/or box number)
Apt. No.
City or Town
State
Zip Code
County
AUTHORIZATION:
The registrant described in
2
is authorized to register the vehicle described in
4
.
(Signature of owner or authorized person, and signature of co-owner if applicable)
(Date)
4
Body Type For Cars (mark one)
VEHICLE IDENTIFICATION NUMBER
VEHICLE DESCRIPTION
Year
Make
Station Wagon or
o
o
o
o
o
2-Door
4-Door
Convertible
Suburban
Other______________
Body Type For Other Vehicles (mark one)
Type of Power or Fuel (mark one)
Color
Unladen Weight
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
Pick-up
Van
Motorcycle
Tow
Truck
Trailer
Other _______
Gas
Diesel
Electric
Flex
CNG
Propane
None
Other ________
For rentals,buses & taxis
For trailers & commercial vehicles
Does the ODOMETER display 5, 6 or 7
For trailers & commercial vehicles
Cylinders
Maximum Gross Weight
Seating Capacity
Odometer Reading in Miles
numbers? (write the number, do not
Axles
Distance
include tenths)
Mileage Brand
Title
Lien
Lien
Prior
L.R.
OFFICE
Number
Owner
Proof Submitted (Name and Ownership)
Approved
Stop/Response
USE
By
Date
Old
ONLY
Reg/Title No._________________________________________ State_______________
Fee
Operator
PAGE 1 OF 2
MV-82ITP (1/16)
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