Form Mv-82d - Application For Duplicate/renewal Registration
ADVERTISEMENT
1APPLICATION FOR DUPLICATE/RENEWAL REGISTRATION
Batch File Number
o
o
RDP
RRN
IMPORTANT: Do not use this form to change your name or any vehicle information. To make any of those changes, use form
MV-82 “Vehicle Registration/Title Application”.
INSTRUCTIONS:
u
Fill in Sections 1 and 2 below. Provide all requested information.
u
Show proof of identity, such as a NYS photo driver license or ID card (see form ID-82 for other proofs of identity).
u
If you receive a temporary registration document, place it on your dashboard. The new window sticker and registration document will be
mailed to you in a few days.
NAME OF PRIMARY REGISTRANT (Last, First, Middle or Business Name)
DATE OF BIRTH
GENDER
NYS driver license ID number of PRIMARY REGISTRANT
S
Month
Day
Year
o
o
Male
Female
E
NAME OF CO-REGISTRANT (Last, First, Middle)
C
T
NYS driver license ID number of CO-REGISTRANT
DATE OF BIRTH
GENDER
I
Month
Day
Year
o
o
Male
Female
O
TELEPHONE NUMBER
MOBILE TELEPHONE NUMBER
o
o
N
Area Code
Area Code
ADDRESS CHANGE?
YES
NO
(
)
(
)
THE ADDRESS WHERE PRIMARY REGISTRANT GETS MAIL
(Include Street Number and Name, Rural Delivery or box number. This address will be printed on the document.)
1
Apt. No.
County of Residence
City or Town
State
Zip Code
THE 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
If the OWNER of the vehicle is DIFFERENT from the REGISTRANT, the OWNER must complete this section.
NYS driver license number of OWNER
NAME OF CURRENT OWNER(s) (Last, First, Middle)
DATE OF BIRTH
Month
Day
Year
Õ
NAME OF CO-OWNER
o
o
GENDER
Male
Female
CERTIFICATION:
he information I have given on this application is true to the best of my knowledge. I certify that the vehicle is fully
T
equipped as required by the Vehicle and Traffic Law, and has passed the required New York State inspection within the past 12 months, or
has qualified for a time extension (Form VS-1077) and will be inspected within 10 days. I also certify that appropriate insurance coverage is
S
in effect, and that the vehicle will be operated in accordance with 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 have plates in a series reserved for a special group, I
E
certify that I am still eligible to receive them, and that I have only one set of these plates.
If I am using a credit card for payment of any
C
fees in connection with this application, I understand that my signature below also authorizes use of my credit card.
T
WARNING: Intentionally making a false statement or providing false or misleading information in connection with this
application is a criminal offense that may subject you to prosecution under the law.
I
O
X
Print Name Here
N
(Print Name in Full)
X
Sign Here
2
(Sign Name in Full)
(If registering for a corporation, print title)
Email (optional)
Old
Old
3 of
O
Plate
Class
Name
F
Special
F
EO
EX
NF
NR
PI
SR
SV
XR
Conditions
I
Approved By
Proof Submitted (Name and Ownership)
C
E
Date
USE
Scofflaw Clearance Number(s)
ONLY
dmv.ny.gov
MV-82D (1/18)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal